A case of congenital bronchial atresia patient with subclinical infection who underwent lung resection

Murata, Saori; Oguri, Tomoyo; Sasada, Shinji; Tsuchiya, Yumi; Ishioka, Kota; Takahashi, Saeko; Kuriyama, Sei; Kaji, Masahiro; Seki, Reishi; Hirose, Shigemichi; Nakamura, Morio

doi:10.1016/j.rmcr.2020.101076

Cited by 4 publications

(5 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, there is a significant debate regarding whether asymptomatic patients with CBA should be managed surgically or conservatively. Some clinicians prefer to perform surgical intervention on asymptomatic patients to avoid the extension of infection to the normal lung due to lung structural disruptions of the CBA cases caused by bronchodilation and emphysematous changes [ 4 , 21 , 22 ]. On the contrary, other experts suggest expectant management in which follow-up with regular chest radiographs should be performed to monitor asymptomatic patients with CBA [ 3 ].…”

Section: Discussionmentioning

confidence: 99%

A case of congenital bronchial atresia with tracheobronchial stenosis caused by emphysema: Successful management with thoracoscopic surgery

Lin,

Tian,

Niu

et al. 2024

Heliyon

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

A case of congenital bronchial atresia with tracheobronchial stenosis caused by emphysema: Successful management with thoracoscopic surgery

Lin,

Tian,

Niu

et al. 2024

Heliyon

View full text Add to dashboard Cite

“…As with other CLMs, there is wide agreement that resection is appropriate for symptomatic CBA, 13 and that surgery is usually curative 13 . The symptoms and complications most frequently reported in the literature as caused by or associated with CBA are recurrent respiratory infection, 9,14–22 pneumothorax, 21,23,24 chest discomfort, 25 mediastinal shift, 26 and pulmonary hypertension 27 . Conversely, there are varying opinions about optimal management of asymptomatic CBA; in some institutions, surgery is considered the best first‐line treatment option 6,28–31 while in ours and others, nonoperative active surveillance is preferred 9,12,32 .…”

Section: Discussionmentioning

confidence: 99%

“…In our institution, CBA is not even considered an indication for surgery, although we do not exclude its appropriateness when recurrent and severe clinical manifestations (pneumonia, dyspnea, cough, haemoptysis) occur and when medical and other nonsurgical management is unsuccessful. The literature reports infrequent cases of symptomatic CBA in adults that eventually lead to surgical resection 9,14–25,27 …”

Section: Discussionmentioning

confidence: 99%

Conservative management of congenital bronchial atresia: The Bambino Gesù children's hospital experience

Zarfati

Voglino

Tomà

et al. 2021

Pediatric Pulmonology

View full text Add to dashboard Cite

Introduction Congenital bronchial atresia (CBA) is a rare airway malformation. No management guidelines exist because of limited evidence: treatment, surgical or conservative, is based on consensus and opinion. Objective: To review the experience of a pediatric tertiary center and provide additional data about nonsurgical management of CBA and its outcomes after a structured follow‐up, and to help formulate appropriate evidence‐based guidelines. Methods A retrospective analysis of clinical, radiological, surgical, and pathological data of all pediatric patients with suspicion of CBA referred to the surgical department of the Bambino Gesù children's hospital of Rome between December 2013 and 2019, along with a review of the literature. Results Among the 18 children initially included in the study, 2 were lost to follow‐up after radiological diagnosis, 4 underwent surgery for radiological suspicion of other pulmonary malformations. The final population is composed of 12 conservatively managed patients. At the end of the follow‐up (median: 29 months, range 3–61), 1 patient (8%) was symptomatic. Conclusion Conservative management for CBA appears to be safe. Surgery should be reserved for patients with symptomatic or complicated cases.

show abstract

“…dyspnea and cough) [ 7 ]. Moreover, the patients with bronchial atresia have increased risks for lung structural disruptions, drug-resistant bacterial colonization and extension of infection to the normal lung [ 8 ]. This is the reason for that surgical intervention is considered even if the patient is asymptomatic.…”

Section: Discussionmentioning

confidence: 99%

Complete thoracoscopic surgery for extensive emphysema in the right upper and middle lobes caused by right B5 bronchial atresia

Sumiya

Nagasaka

Ikeda

et al. 2021

Journal of Surgical Case Reports

View full text Add to dashboard Cite

Bronchial atresia is a rare congenital condition that may lead to infectious complications. Almost all patients with this condition are diagnosed early in life with normal lungs, making them particularly suitable candidates for thoracoscopic surgery. A 30-year-old man was referred to our hospital due to an abnormal shadow on chest radiography taken 7 years prior. Despite being diagnosed with B5 bronchial atresia, he refused to undergo surgical resection. Seven years later, he developed right chest pain. Computed tomography showed B5 bronchial occlusion, mucoid impaction and emphysematous changes. Treatment with thoracoscopic right middle lobectomy and S3 partial resection using four ports resulted in good lung expansion after discharge. This study highlights that thoracoscopic surgical resection should be considered in patients with bronchial atresia.

show abstract

A case of congenital bronchial atresia patient with subclinical infection who underwent lung resection

Cited by 4 publications

References 6 publications

A case of congenital bronchial atresia with tracheobronchial stenosis caused by emphysema: Successful management with thoracoscopic surgery

A case of congenital bronchial atresia with tracheobronchial stenosis caused by emphysema: Successful management with thoracoscopic surgery

Conservative management of congenital bronchial atresia: The Bambino Gesù children's hospital experience

Complete thoracoscopic surgery for extensive emphysema in the right upper and middle lobes caused by right B5 bronchial atresia

Contact Info

Product

Resources

About