Congenital bronchial atresia in adults: thoracoscopic resection

Traibi, Akram; Seguin‐Givelet, Agathe; Grigoroiu, Mădălina; Brian, Emmanuel; Gossot, Dominique

doi:10.21037/jovs.2017.10.15

Cited by 14 publications

(16 citation statements)

References 13 publications

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“…It generally follows a benign, asymptomatic course ( 4 , 6 , 13 ) . Bronchial atresia is slightly more prevalent in males, and its reported incidence varies in the literature ( 6 , 13 , 14 ) . In the present study, the incidence was the same for both genders.…”

Section: Discussionmentioning

confidence: 99%

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Tomographic findings in bronchial atresia

et al. 2021

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Objective: To evaluate computed tomography (CT) findings in 23 patients with bronchial atresia. Materials and Methods: The CT images were reviewed by two radiologists who reached decisions by consensus. We included only patients who presented with abnormalities on CT and in whom the diagnosis had been confirmed by pathological examination of the surgical specimen (if the lesion was resected). The CT scans were assessed in order to identify the main findings and to map the distribution of the lesions (i.e., to determine whether the pulmonary involvement was unilateral or bilateral). Results: The main CT finding was the combination of bronchocele and hyperinflation of the distal lung. That combination was observed in all of the patients. The lesions were unilateral in all 23 cases, being seen predominantly in the left upper lobe, followed by the right lower lobe, right upper lobe, middle lobe, and left lower lobe. Conclusion: The diagnosis of bronchial atresia can be reliably made on the basis of a finding of bronchocele accompanied by hyperinflation of the adjacent lung parenchyma.

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Section: Discussionmentioning

confidence: 99%

“…The mean age of the patients in our sample-34.7 years-is in agreement with data in the literature showing that the diagnosis is typically made only in the second or third decade of life. That probably occurs because most patients are asymptomatic and are diagnosed when undergoing examinations for other reasons ( 14 , 15 ) .…”

Section: Discussionmentioning

confidence: 99%

Tomographic findings in bronchial atresia

et al. 2021

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“…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

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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.

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“…Bronchial atresia is a rare congenital malformation characterized by focal interruption of lobar, segmental, or subsegmental bronchus [22].…”

Section: Bronchial Atresiamentioning

confidence: 99%

Surgery in congenital lung malformations: the evolution from thoracotomy to VATS, 10-year experience in a single center

Ceylan

Batıhan

Üçvet

et al. 2021

J Cardiothorac Surg

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Background Congenital lung malformation is an umbrella term and consist of various kind of parenchymal and mediastinal pathologies. Surgical resection is often required for diagnosis and curative treatment. We aimed to review our experience in surgical treatment for congenital lung disease and present the role of minimally invasive surgery. Methods Surgical resections performed for benign lesions of the lung and mediastinum between January 2009 and May 2019 were retrospectively analyzed. Patients who were found to have congenital lung malformation as a result of pathological examination were included in our study. Distribution characteristics of the patients according to congenital lung malformation subtypes, differences in surgical approach and postoperative results were investigated. Results A total of 94 patients who underwent surgical resection and were diagnosed with the bronchogenic cyst, sequestration, bronchial atresia, congenital cystic adenomatoid malformation (CCAM), or enteric cyst as a result of pathological examination were included the study. There were no significant differences between pathological subtypes in the postoperative length of hospital stay and drainage duration however, perioperative complication rate was higher in the sequestration group. In addition, in the first three days postoperatively, the mean pain score was found to be lower in the VATS group compared to thoracotomy. Conclusions Congenital lung malformations consist of a heterogeneous group of diseases and the surgical treatment in these patients can range from a simple cyst excision to pneumonectomy. Video-assisted thoracoscopic surgery should be considered as the first choice in the surgical treatment of these patients in experienced centers.

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Congenital bronchial atresia in adults: thoracoscopic resection

Cited by 14 publications

References 13 publications

Tomographic findings in bronchial atresia

Tomographic findings in bronchial atresia

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

Surgery in congenital lung malformations: the evolution from thoracotomy to VATS, 10-year experience in a single center

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