Recovery of lung perfusion after sleeve resection for tuberculous bronchial stenosis.
Parenchyma-sparing main bronchial sleeve resection is a safe and effective procedure to restore impaired lung function. We present a case illustrating recovery of lung perfusion in a 24-year-old woman with dyspnea on exertion because of bronchial tuberculosis. Bronchoscopic examination revealed pin-hole stenosis of the left main bronchial orifice. 99mTc-macroaggregated albumin perfusion scanning revealed essentially absent left lung perfusion. Because of bronchomalacia in the distal portion, six rings of the left main bronchus were resected by carinoplasty. Symptoms abated and perfusion recovered to a large extent 2 months later. She became pregnant and delivered successfully 12 months postoperatively.
Department of Chest Surgery, Pulmonary Medicine and Surgical Pathology, Toho University Omori Medical Center, Tokyo, Japan.
Shoji
S
Takahashi
Yoshinobu
Y
Hata
Shuichi
S
Sasamoto
Fumitomo
F
Sato
Kazuyoshi
K
Tamaki
Keita
K
Sato
Aki
A
Mitsuda
Kazutoshi
K
Shibuya
Keigo
K
Takagi
D000328:Adult; D000402:Airway Obstruction / Q000175:diagnosis / Q000601:surgery*; D001980:Bronchi / Q000601:surgery*; D001982:Bronchial Diseases / Q000175:diagnosis / Q000601:surgery*; D055091:Bronchomalacia / Q000175:diagnosis / Q000601:surgery; D001999:Bronchoscopy; D003251:Constriction, Pathologic / Q000175:diagnosis / Q000601:surgery; D005260:Female; D006801:Humans; D007511:Ischemia / Q000175:diagnosis / Q000601:surgery*; D008168:Lung / Q000098:blood supply*; D011183:Postoperative Complications / Q000175:diagnosis; D012129:Respiratory Function Tests; D014057:Tomography, X-Ray Computed; D014397:Tuberculosis, Pulmonary / Q000175:diagnosis / Q000601:surgery*