Bilateral main bronchial compression caused by the ductal ligament.
Several authors have reported cases of respiratory distress resulting from bronchial compression due to a hypertensive pulmonary artery in the setting of a large left-to-right shunt. However, respiratory distress due to bilateral main bronchial compression due to an enlarged pulmonary artery suspended posteriorly by the ductal ligament following repair of a ventricular septal defect is extremely rare. In this report, we advocate the necessity of dividing the ductal ligament in some patients with large left-to-right shunts when there are episodes of idiopathic respiratory distress before operation.
Second Department of Surgery, Shiga University of Medical Science, Otsu, Japan.
T
T
Sugita
A
A
Mori
S
S
Watarida
M
M
Onoe
S
S
Shiraishi
T
T
Nojima
Y
Y
Nakajima
D000402:Airway Obstruction / Q000209:etiology*; D001982:Bronchial Diseases / Q000209:etiology*; D004108:Dilatation, Pathologic / Q000150:complications; D004374:Ductus Arteriosus, Patent / Q000150:complications*; D006343:Heart Septal Defects / Q000150:complications; D006801:Humans; D007223:Infant; D008022:Ligaments / Q000473:pathology*; D008297:Male; D011651:Pulmonary Artery / Q000473:pathology*