Document Detail

Primary bronchomalacia and patent ductus arteriosus: simultaneous surgical correction in an infant.
MedLine Citation:
PMID:  10524752     Owner:  NLM     Status:  MEDLINE    
We report the clinical course of a 6-month-old girl with recurrent infection of the left lung, persistent wheezing, and a suspected congenital heart anomaly (patent ductus arteriosus. Chest radiography revealed hyperinflation and slight inflammation of the left lung. Tracheobronchoscopy and left-sided bronchography showed a collapsed segment of the left main bronchus, 3 cm long. Computed tomography confirmed hyperinflation of the left lung and atelectasis of the superior lobe. There were no signs of extramural compression. Color-flow Doppler echocardiography confirmed the suspicion of patent ductus arteriosus. To the best of our knowledge, there is no other report in the literature of a patient with this combination of anomalies. After receiving 2 weeks of antibiotic treatment, the patient underwent surgical repair The patent ductus arteriosus was closed by means of a triple-ligature procedure, and during the same operation a bronchopexy was performed, securing the left main bronchus to the closed ductus tissue by means of sutures. There have been no complications in the postoperative period. Clinical follow-up, as well as echocardiography and bronchoscopy, have yielded normal results 14 months after surgery.
V Ahel; S Severinski; D Vukas; V Rozmanić
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Texas Heart Institute journal / from the Texas Heart Institute of St. Luke's Episcopal Hospital, Texas Children's Hospital     Volume:  26     ISSN:  0730-2347     ISO Abbreviation:  Tex Heart Inst J     Publication Date:  1999  
Date Detail:
Created Date:  1999-11-17     Completed Date:  1999-11-17     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  8214622     Medline TA:  Tex Heart Inst J     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  215-8     Citation Subset:  IM    
Pediatric Clinic, Pulmonary Unit, Faculty of Medicine, University of Rijeka, Croatia.
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MeSH Terms
Abnormalities, Multiple / surgery*
Antibiotic Prophylaxis
Bronchi / abnormalities*,  surgery
Ductus Arteriosus, Patent / complications,  surgery*
Echocardiography, Doppler, Color

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