title: [Unexpected respiratory complication after the surgical treatment of scoliosis in a teenager].
abstract: We report the case of an unexpected respiratory complication after a surgical treatment of scoliosis during postoperative period in an adolescent patient. This complication results of a vascular compression of the left main bronchus between the aorta and the pulmonary artery, which induces severe atelectasis of left lower lobe. Prolonged non-invasive ventilation with high level of positive end-expiratory pressure prevents aorto-pulmonary compression, allows a pulmonary recruitment associated with a favorable prognostic for the adolescent.
authors.affiliation: Service d'anesthésie-réanimation III, hôpital des enfants, CHU de Bordeaux, place Amélie-Raba-Léon, 33076 Bordeaux cedex, France.
authors.forename: N-R-C
authors.initials: NR
authors.lastname: Rakotoarison
authors.forename: M
authors.initials: M
authors.lastname: Bordes
authors.forename: H
authors.initials: H
authors.lastname: Batoz
authors.forename: J-R
authors.initials: JR
authors.lastname: Pontailler
authors.forename: K
authors.initials: K
authors.lastname: Nouette-Gaulain
mesh_terms: D000328:Adult; D006801:Humans; D008171:Lung Diseases / Q000209:etiology / Q000628:therapy; D008297:Male; D019637:Orthopedic Procedures; D010101:Oxygen Consumption; D011175:Positive-Pressure Respiration; D011183:Postoperative Complications / Q000628:therapy*; D001261:Pulmonary Atelectasis / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy; D013902:Radiography, Thoracic; D012121:Respiration, Artificial; D012140:Respiratory Tract Diseases / Q000209:etiology* / Q000628:therapy*; D012600:Scoliosis / Q000150:complications* / Q000601:surgery*; D014057:Tomography, X-Ray Computed