Document Detail


A novel treatment approach to h-type esophageal lung in presence of pulmonary artery sling with pneumonectomy and intrathoracic tissue-expander placement.
MedLine Citation:
PMID:  24889439     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Congenital tracheal anomalies occur in 1:10,000 births and can be associated with congenital cardiac disease. This patient presented with right mainstem atresia, right bronchoesophageal fistula without esophageal atresia (H-type esophageal lung), and left pulmonary arterial (PA) sling. Taking this into consideration, surgical management included right pneumonectomy and placement of expandable prosthesis into the thoracic cavity to buttress the mediastinum and prevent tracheal deviation-induced kinking of the PA sling, which provided pulmonary blood flow to the remaining functional lung. To our knowledge, this is the first reported case of esophageal lung in conjunction with a PA sling, as well as the first documented use of an expandable prosthesis to prevent acute postpneumonectomy syndrome. This case can provide clinicians with increased clinical knowledge for treatment of this rare and potentially lethal combination of congenital anomalies.
Authors:
Michael R Phillips; Jeff J Dehmer; Timothy M Weiner; Sang Lee
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Chest     Volume:  145     ISSN:  1931-3543     ISO Abbreviation:  Chest     Publication Date:  2014 Jun 
Date Detail:
Created Date:  2014-06-03     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0231335     Medline TA:  Chest     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1402-6     Citation Subset:  AIM; IM    
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