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-...
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Veröffentlicht in: | The Annals of thoracic surgery 2012-06, Vol.93 (6), p.2041-2043 |
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creator | Takahashi, Shoji, MD Hata, Yoshinobu, MD, PhD Sasamoto, Shuichi, MD, PhD Sato, Fumitomo, MD Tamaki, Kazuyoshi, MD Sato, Keita, MD Mitsuda, Aki, MD, PhD Shibuya, Kazutoshi, MD, PhD Takagi, Keigo, MD, PhD |
description | 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.99m Tc-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. |
doi_str_mv | 10.1016/j.athoracsur.2011.10.027 |
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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.99m Tc-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.</description><identifier>ISSN: 0003-4975</identifier><identifier>EISSN: 1552-6259</identifier><identifier>DOI: 10.1016/j.athoracsur.2011.10.027</identifier><identifier>PMID: 22632498</identifier><identifier>CODEN: ATHSAK</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adult ; Airway Obstruction - diagnosis ; Airway Obstruction - surgery ; Anesthesia. 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Vascular system ; Cardiothoracic Surgery ; Constriction, Pathologic - diagnosis ; Constriction, Pathologic - surgery ; Female ; Human bacterial diseases ; Humans ; Infectious diseases ; Ischemia - diagnosis ; Ischemia - surgery ; Lung - blood supply ; Medical sciences ; Pneumology ; Postoperative Complications - diagnosis ; Respiratory Function Tests ; Surgery ; Tomography, X-Ray Computed ; Tuberculosis and atypical mycobacterial infections ; Tuberculosis, Pulmonary - diagnosis ; Tuberculosis, Pulmonary - surgery</subject><ispartof>The Annals of thoracic surgery, 2012-06, Vol.93 (6), p.2041-2043</ispartof><rights>The Society of Thoracic Surgeons</rights><rights>2012 The Society of Thoracic Surgeons</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2012 The Society of Thoracic Surgeons. Published by Elsevier Inc. 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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.99m Tc-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.</description><subject>Adult</subject><subject>Airway Obstruction - diagnosis</subject><subject>Airway Obstruction - surgery</subject><subject>Anesthesia. Intensive care medicine. Transfusions. 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subjects | Adult Airway Obstruction - diagnosis Airway Obstruction - surgery Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Bacterial diseases Biological and medical sciences Bronchi - surgery Bronchial Diseases - diagnosis Bronchial Diseases - surgery Bronchomalacia - diagnosis Bronchomalacia - surgery Bronchoscopy Cardiology. Vascular system Cardiothoracic Surgery Constriction, Pathologic - diagnosis Constriction, Pathologic - surgery Female Human bacterial diseases Humans Infectious diseases Ischemia - diagnosis Ischemia - surgery Lung - blood supply Medical sciences Pneumology Postoperative Complications - diagnosis Respiratory Function Tests Surgery Tomography, X-Ray Computed Tuberculosis and atypical mycobacterial infections Tuberculosis, Pulmonary - diagnosis Tuberculosis, Pulmonary - surgery |
title | Recovery of Lung Perfusion After Sleeve Resection for Tuberculous Bronchial Stenosis |
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