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
Hauptverfasser: 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
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container_end_page 2043
container_issue 6
container_start_page 2041
container_title The Annals of thoracic surgery
container_volume 93
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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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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