Bronchial atresia: A recognizable entity in the pediatric age group

Schuster, Samuel R.; Harris, G. B. C.; Williams, Adrian J.; Kirkpatrick, Joshua; Reid, Lynne

doi:10.1016/s0022-3468(78)80114-6

Cited by 48 publications

(19 citation statements)

References 11 publications

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“…Peripheral bronchial atresia was found in 6 patients in this series, 4 of whom also had a CCAM, BPS, or hybrid lesion pathologic diagnosis. This lesion is characterized pathologically by a cystically dilated bronchus, airspace enlargement, and the presence of a mucocele and/or abundant mucus distal to the region of atresia [1,[37][38][39]. Although a definitive association between bronchial atresia with cystic changes and the complications associated with CCAMs has not been proven, the frequent occurrence of bronchial atresia with microcystic maldevelopment characteristic of CCAMs suggests that one consider the management of asymptomatic bronchial atresia in the context of a CCAM diagnosis [1,39].…”

Section: Discussionmentioning

confidence: 99%

Outcomes after postnatal resection of prenatally diagnosed asymptomatic cystic lung lesions

Tsai

Liechty

Hedrick

et al. 2008

Journal of Pediatric Surgery

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Section: Discussionmentioning

confidence: 99%

Outcomes after postnatal resection of prenatally diagnosed asymptomatic cystic lung lesions

Tsai

Liechty

Hedrick

et al. 2008

Journal of Pediatric Surgery

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“…Two groups of patients were identified: (1) patients diagnosed with PBA on postnatal CT scan (n = 16), and (2) patients with the pathologically confirmed diagnosis of PBA independent of post-mandates postnatal monitoring and subsequent characterization with a postnatal chest computed tomography (CT) scan. Peripheral bronchial atresia (PBA) is a newly identified fetal lung lesion which is often asymptomatic at birth and is characterized pathologically by a cystically dilated bronchus, airspace enlargement and the presence of a mucocele and/or abundant mucus distal to the region of atresia [1][2][3][4] . It is characterized on postnatal CT scan as an area of hyperexpansion and hyperlucency consistent with air trapping often without cystic changes.…”

Section: Introductionmentioning

confidence: 99%

Prenatal Course and Postnatal Management of Peripheral Bronchial Atresia: Association with Congenital Cystic Adenomatoid Malformation of the Lung

et al. 2008

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Objective: Peripheral bronchial atresia (PBA), a newly identified fetal lung lesion, is often asymptomatic and managed nonoperatively. However, recent studies suggest that bronchial atresia plays a role in the etiology of microcystic maldevelopment present in congenital cystic adenomatoid malformations (CCAM) which require resection to decrease the risk of infection, pneumothorax and malignant degeneration. The purpose of this study was to evaluate the prenatal radiographic and postnatal computed tomography (CT) scan/pathology findings with attention to the pathologic diagnosis of microcystic maldevelopment in infants with the presumptive diagnosis of PBA. Methods: A retrospective review of prenatal and postnatal records of patients diagnosed with fetal lung lesions was performed. Two groups of patients were identified: (1) patients diagnosed with PBA on postnatal CT scan (n = 16), and (2) patients with the pathologically confirmed diagnosis of PBA independent of postnatal CT findings (n = 23). Results: Prenatal ultrasound diagnosis of these lesions included CCAMs, hybrid lesions, bronchopulmonary sequestrations and bronchial atresia. Eleven of the 16 patients in group 1 with the postnatal radiologic diagnosis of PBA underwent surgical resection, 6 of which were found to have microcystic changes consistent with CCAM. Evaluation of the 23 patients in group 2 with pathologically confirmed PBA identified 65% that had evidence of microcystic maldevelopment consistent with the small cyst type of CCAM. Conclusion: Radiographically diagnosed PBA as well as pathologically confirmed PBA is frequently associated with microcystic changes consistent with the small cyst type of CCAM. Thus, operative management should be considered for PBA to decrease CCAM-associated risks.

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“…Later the fluid is replaced by air and the lobe becomes emphysematous [13]. It can be seen on plain films but also more vividly on MRI and CT.…”

Section: Discussionmentioning

confidence: 95%

Prenatal thoracoabdominal tumor mimicking pulmonary sequestration: a diagnosis dilemma

Curros

Brunelle

2001

European Radiology

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Thoracoabdominal masses are among the many congenital anomalies being detected in fetus. The differential diagnosis of such anomalies include cystic adenomatoid malformation, pulmonary sequestration, neuroblastoma, lymphangioma, congenital diaphragmatic hernia, and bronchial atresia. We report a fetal thoracoabdominal mass that proved to be an angioma that was treated by partial embolization. Complete regression was observed.

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Bronchial atresia: A recognizable entity in the pediatric age group

Cited by 48 publications

References 11 publications

Outcomes after postnatal resection of prenatally diagnosed asymptomatic cystic lung lesions

Outcomes after postnatal resection of prenatally diagnosed asymptomatic cystic lung lesions

Prenatal Course and Postnatal Management of Peripheral Bronchial Atresia: Association with Congenital Cystic Adenomatoid Malformation of the Lung

Prenatal thoracoabdominal tumor mimicking pulmonary sequestration: a diagnosis dilemma

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