| Surgically treated Swyer-James syndrome. | |
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MedLine Citation:
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PMID: 11757341 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Because patients with Swyer-James syndrome have almost always been treated conservatively, few reports exist of pathological findings of the lung in this syndrome. We report a case of this rare disease treated surgically and discuss pathological findings. A 36-year-old woman repeatedly contracted bronchitis and pneumothorax since adolescence, until April 26, 1997, when she reported chest pain and dyspnea. Chest X-ray on admission showed left pulmonary collapse with a slight deviation of the mediastinum toward the right. Chest computed tomography showed an apical bulla and emphysematous change in the left upper lobe. Pulmonary arteriography at age 17 showed hypoplasia of left pulmonary artery branches in the left upper lobe. Based on a diagnosis of Swyer-James syndrome, we conducted left upper lobectomy on May 2, 1997. Pathological examination of the resected left upper lobe showed marked emphysematous change, including an emphysematous bulla with destruction of alveolar structure and peribronchiolar fibrosis. No vascular abnormality was recognized in histology. Emphysematous change secondary to repeated bronchiolitis is believed to have led to her repeated pneumothorax. |
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Authors:
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T Koyama; H Osada; Y Kitanaka; S Funaki; T Hiekata |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: The Japanese journal of thoracic and cardiovascular surgery : official publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai zasshi Volume: 49 ISSN: 1344-4964 ISO Abbreviation: Jpn. J. Thorac. Cardiovasc. Surg. Publication Date: 2001 Nov |
Date Detail:
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Created Date: 2001-12-06 Completed Date: 2002-01-29 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 100884261 Medline TA: Jpn J Thorac Cardiovasc Surg Country: Japan |
Other Details:
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Languages: eng Pagination: 671-4 Citation Subset: IM |
Affiliation:
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Department of Thoracic and Cardiovascular Surgery, St. Marianna University, Yokohama City Seibu Hospital, Yokohama, Japan. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Female Humans Lung, Hyperlucent / diagnosis, surgery* Pneumonectomy |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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