2.Bronchial Atresia Associated with Spontaneous Pneumothorax : Report of A Case.
Yong Han YOON ; Kuk Hee SON ; Joung Taek KIM ; Wan Ki BAEK ; Kwang Ho KIM ; Kyung Hee LEE ; Hae Seung HAN
Journal of Korean Medical Science 2004;19(1):142-144
A 32-yr-old male patient with recurrent pneumothorax associated with bronchial atresia of the subsegmental branch of the posterior segmental bronchus of the right upper lobe was successfully treated with right upper lobectomy. Before surgery, the bronchial atresia with pneumothorax was suspected on the chest radiograph and CT scans, which showed the findings of bronchocele with localized hyperinflation of the right upper lobe. The examination of surgical specimen from the resected right upper lobe suggests that the cause of the recurrent pneumothorax was the rupture of the subpleural bullae in the hyperinflated lung segment distal to the atretic bronchus.
Adult
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Bronchi/*abnormalities/pathology
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Bronchial Diseases/*diagnosis
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Human
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Male
;
Pneumothorax/*diagnosis
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Respiratory System Abnormalities/*pathology
;
Tomography, X-Ray Computed
3.A report of 4 cases with tracheal bronchus.
Yue-jie ZHENG ; Dao-zhen ZHANG ; Ji-kui DENG
Chinese Journal of Pediatrics 2006;44(9):698-699
Bronchi
;
abnormalities
;
pathology
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Bronchial Diseases
;
complications
;
congenital
;
diagnosis
;
pathology
;
Bronchoscopy
;
Child, Preschool
;
Diagnosis, Differential
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Female
;
Humans
;
Infant
;
Male
;
Pneumonia
;
etiology
;
physiopathology
;
Respiratory System Abnormalities
;
complications
;
diagnosis
;
pathology
;
Trachea
;
abnormalities
;
pathology
;
Tracheal Stenosis
;
etiology
;
pathology
5.Clinical analysis of twenty cases with congenital airway abnormalities in children.
Cai-fu WANG ; Guo-hong ZHU ; Zhi-min CHEN ; Shesheng LUO
Chinese Journal of Pediatrics 2004;42(6):461-462
Abnormalities, Multiple
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Bronchial Diseases
;
complications
;
Bronchoscopy
;
Child
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Child, Preschool
;
Female
;
Foreign Bodies
;
complications
;
Humans
;
Infant
;
Lung
;
diagnostic imaging
;
pathology
;
Male
;
Radiography
;
Respiratory System Abnormalities
;
complications
;
Respiratory Tract Diseases
;
etiology
;
pathology
6.Repair of Long-segment Congenital Tracheal Stenosis.
Ji Hyuk YANG ; Tae Gook JUN ; Kiick SUNG ; Jin Ho CHOI ; Young Tak LEE ; Pyo Won PARK
Journal of Korean Medical Science 2007;22(3):491-496
Long-segment tracheal stenosis in infants and small children is difficult to manage and can be life-threatening. A retrospective review of 12 patients who underwent surgery for congenital tracheal stenosis between 1996 and 2004 was conducted. The patients' median age was 3.6 months. All patients had diffuse tracheal stenosis involving 40-61% (median, 50%) of the length of the trachea, which was suspected to be associated with complete tracheal ring. Five patients had proximal bronchial stenosis also. Ten patients had associated cardiac anomalies. Three different techniques were performed; pericardial patch tracheoplasty (n=4), tracheal autograft tracheoplasty (n=6), and slide tracheoplasty (n=2). After pericardial tracheoplasty, there were 2 early and 2 late deaths. All patients survived after autograft and slide tracheoplasty except one who died of pneumonia one year after the autograft tracheoplasty. The duration of ventilator support was 6-40 days after autograft and 6-7 days after slide tracheoplasty. The duration of hospital stay was 13-266 days after autograft and 19-21 days after slide tracheoplasty. Repeated bronchoscopic examinations were required after pericardial and autograft tracheoplasty. These data demonstrate that pericardial patch tracheoplasty show poor results, whereas autograft or slide tracheoplasty gives excellent short- and long-term results.
Body Weight
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Female
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Follow-Up Studies
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Humans
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Infant
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Infant, Newborn
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Length of Stay
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Male
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Pulmonary Artery/pathology
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Respiratory System Abnormalities/surgery
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Thoracic Surgical Procedures
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Trachea/anatomy & histology
;
Tracheal Stenosis/*congenital/*surgery
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Treatment Outcome