Document Detail


Comparison of imaging techniques in the diagnosis of bridging bronchus.
MedLine Citation:
PMID:  18448507     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Bridging bronchus (BB) is a rare, congenital bronchial anomaly that is frequently associated with congenital cardiac malformations, especially left pulmonary artery sling. It represents an anomalous bronchus to the right originating from the left main bronchus. Discrimination from other bronchial anomalies is important, since BB is frequently associated with bronchial stenoses due to abnormal cartilage rings. This case study describes the findings of bronchoscopy, bronchography and multidetector computed tomography (MDCT) in three patients. Bronchoscopy was helpful in the description of the severity and length of bronchial stenoses. However, it was not possible to establish a diagnosis of BB based on this method in two patients, since it is difficult or even impossible to differentiate the bifurcation from the pseudocarina. It was not possible to establish the correct diagnosis in all patients based on bronchography or MDCT. MDCT was able to depict the relationship of bronchial and vascular structures, which is particularly important in patients with pulmonary artery sling. Multidetector computed tomography is preferable to bronchography as it is less invasive and due to its short acquisition time it can be performed in children with severe respiratory disease. In the current authors' experience, detection of cartilage rings still requires flexible bronchoscopy.
Authors:
W Baden; J Schaefer; M Kumpf; N Tzaribachev; T Pantalitschka; A Koitschev; G Ziemer; J Fuchs; M Hofbeck
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The European respiratory journal     Volume:  31     ISSN:  1399-3003     ISO Abbreviation:  Eur. Respir. J.     Publication Date:  2008 May 
Date Detail:
Created Date:  2008-05-01     Completed Date:  2008-07-15     Revised Date:  2013-05-23    
Medline Journal Info:
Nlm Unique ID:  8803460     Medline TA:  Eur Respir J     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  1125-31     Citation Subset:  IM    
Affiliation:
Dept of Paediatric Cardiology and Pulmology, Children's Hospital, University of Tuebingen, Hoppe-Seyler-Str. 1, D-72076 Tuebingen, Germany. winfried.baden@med.uni-tuebingen.de
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MeSH Terms
Descriptor/Qualifier:
Abnormalities, Multiple / diagnosis*,  surgery
Bronchi / abnormalities*
Bronchography / methods
Bronchoscopy / methods
Echocardiography, Three-Dimensional
Female
Heart Defects, Congenital / diagnosis
Humans
Infant, Newborn
Magnetic Resonance Imaging / methods*
Male
Tomography, X-Ray Computed / methods*

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