The use of bronchotomy and retrograde dilatation to repair acquired obliterative bronchial obstruction.
A case is presented of acquired obliterative mainstem bronchial obstruction with total ipsilateral lung atelectasis and contralateral lung hyperexpansion. The condition failed to improve after a suitable trial of positive airway pressure and medical management. Penetration of the obstructing lesion bia bronchotomy and a distal retrograde approach successfully opened the airway and the patient has been symptom-free for more than 9 months. This unique approach may be useful in other selected patients with similar acquired lesions.
Chua
R N
RN
Department of Pediatrics, Indiana University School of Medicine, Indianapolis.
Engle
W A
WA
Brown
J W
JW
Yoder
M C
MC
D000402:Airway Obstruction / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D001980:Bronchi / Q000601:surgery*; D001982:Bronchial Diseases / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D001999:Bronchoscopy; D004106:Dilatation; D005260:Female; D015745:Granuloma, Foreign-Body / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007231:Infant, Newborn; D007442:Intubation, Intratracheal / Q000009:adverse effects; D011175:Positive-Pressure Respiration