Successful tracheobronchial reconstruction of communicating bronchopulmonary foregut malformation and long segment congenital tracheal stenosis: a case report

Takamizawa, Satoshi; Yoshizawa, Kazuya; Machida, Mizuho; Iwade, Tamaki; Abe, Seiki; Ohata, Jun; Takahashi, Daijiro; Nishijima, Eiji

doi:10.1016/j.jpedsurg.2012.06.009

Cited by 13 publications

(5 citation statements)

References 11 publications

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“…Eighty-three reports were eligible for full-text screening. Of them, 38 papers matched our criteria and were included [2, 4–40]. The selection study process is showed in the PRISMA flowchart in Fig.…”

Section: Resultsmentioning

confidence: 99%

Congenital bronchopulmonary foregut malformation: systematic review of the literature

Yang

Chen

et al. 2019

BMC Pediatr

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Background Congenital bronchopulmonary foregut malformation (CBPFM) is a rare congenital malformation involving both the digestive and respiratory system. Early diagnosis is difficult, and delayed recognition may result in considerable complications. The aim of the study was to identify and analyze the clinical characteristics and radiological features of CBPFMs. Methods A systematic review was conducted in accordance with PRISMA guidelines. PubMed, Ovid database, EMBASE were searched for relevant publications to identify all published case-reports of CBPFM since 1992. Data about the demography, clinical presentation, pathology, imaging features, treatment and prognosis were collected. Results Sixty-one cases were included in our study. Cases were aged from 1 day to 59 years with the majority aged 3 years or younger. The most common type was group III (37.7%), followed by group II (29.5%)group I (27.9%) and group IV (4.9%). The presentations included respiratory distress (32.8%), cough/choking following food intake and other presentations associated respiratory infection. Thirty-eight cases (62.3%) were diagnosed by upper gastrointestinal series (UGI). Misdiagnosis was common. Eight cases (13.1%) of the included cases died. Conclusions Early recognition and extensive delineation of the anatomy of CBPFM are important to correct these anomalies successfully. UGI is the first choice to confirm the abnormal bronchus communicating with the esophagus. Resection of abnormal pulmonary tissue, lobe or even unilateral lung is preferred. Reconstruction procedures are feasible in selected patients. Electronic supplementary material The online version of this article (10.1186/s12887-019-1686-1) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 99%

Congenital bronchopulmonary foregut malformation: systematic review of the literature

Yang

Chen

et al. 2019

BMC Pediatr

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“…In most case report, the treatment of choice is pneumonectomy, 1 2 3 4 5 6 7 8 but there are reports of successful tracheobronchial reconstructions. 9 10 11 In our case, we judged that a tracheobronchial anastomosis was unfeasible due to the long tracheobronchial gap, in fact the position of the right main bronchus was very low in the thorax with a gap of four vertebral bodies between its origin and the end of the trachea, as it is well evidenced by the three-dimensional CT reconstruction of the anatomy of our patient ( Fig. 1B–C ).…”

Section: Discussionmentioning

confidence: 53%

Possible Approach to Esophageal Lung with Long Tracheobronchial Gap

Ichino

Pugni

Zanini

et al. 2019

European J Pediatr Surg Rep

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Esophageal lung is a rare bronchopulmonary foregut malformation characterized by an anomalous origin of one of the main bronchi which arises from the esophagus. Less than 30 cases are reported in the literature. Therefore, there are no standardized guidelines for the treatment of this condition. We report a case of right esophageal lung diagnosed in a neonate. The patient was treated with thoracoscopic closure of the ectopic main bronchus in the neonatal period, followed by delayed pneumonectomy at 5 months of age. No prosthetic substitute was implanted in the ipsilateral hemithorax after pneumonectomy. The patient is now 4 years old and doing well, postpneumonectomy syndrome was never observed. Our strategy and the possible alternatives are discussed here.

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“…Our patient also remained absolutely stable postoperatively. There are reports of successful tracheobronchial reconstructions [16].…”

Section: Discussionmentioning

confidence: 99%

Bronchiectasis without lower respiratory symptoms in the presence of multisystem anomalies – a clinical clue to diagnose esophageal lung anomaly

Gupta

Snehil

Kumar

et al. 2022

Monaldi Arch Chest Dis

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Esophageal lung is a type of Group-II communicating bronchopulmonary foregut malformations (CBPFM) usually diagnosed beyond neonatal period during investigation for recurrent respiratory symptoms and persistent radiographic features suggesting pneumonia or bronchiectasis. In our case, we noticed bronchiectasis and disproportionately severe volume loss in an infant with associated multisystem anomalies in the absence of “significant” lower respiratory tract symptoms. A detailed evaluation with repeat imaging confirmed a Group-II CBPFM, a congenital pathology instead of an infective cause. Pneumonectomy is a more prudent option instead of undertaking major airway reconstruction for the dysplastic “dysfunctional” tissue. Amongst the various associated anomalies reported till now, the associated rib and renal anomalies noted by us have not been described earlier to the best of our knowledge.

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Successful tracheobronchial reconstruction of communicating bronchopulmonary foregut malformation and long segment congenital tracheal stenosis: a case report

Cited by 13 publications

References 11 publications

Congenital bronchopulmonary foregut malformation: systematic review of the literature

Congenital bronchopulmonary foregut malformation: systematic review of the literature

Possible Approach to Esophageal Lung with Long Tracheobronchial Gap

Bronchiectasis without lower respiratory symptoms in the presence of multisystem anomalies – a clinical clue to diagnose esophageal lung anomaly

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