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- Title
Anomalous ascending aorta causing severe compression of the left bronchus in an infant with ventricular septal defect and pulmonary atresia.
- Authors
Meng-Ju Li; Ching-Chia Wang; Shye-Jye Chen; Shuenn-Nan Chiu; En-Ting Wu; Jou-Kou Wang; Mei-Hwan Wu; Li, Meng-Ju; Wang, Ching-Chia; Chen, Shye-Jye; Chiu, Shuenn-Nan; Wu, En-Ting; Wang, Jou-Kou; Wu, Mei-Hwan
- Abstract
Tracheobronchial compression by cardiovascular structures complicates the course after surgery of congenital heart disease. A 2-month-old boy with ventricular septal defect, pulmonary atresia, and velocardiofacial syndrome had severe left main bronchus obstruction due to external compression by an anomalously oriented ascending aorta. The patient's hypoxemic episodes necessitated extracorporeal membrane oxygenation. We inserted a stent in the left bronchus to open the airway, but the stent was crushed by the anomalous aorta. We later surgically rerouted the aorta and finally restored the patency of the left main bronchus. However, the patient died of fungemia, without being weaned from extracorporeal membrane oxygenation. We conclude that surgery is necessary instead of stent implantation to relieve the external compression of the left bronchus from a vessel with systemic arterial pressure.
- Subjects
CONGENITAL heart disease; STENOSIS; RESPIRATORY therapy; ARTIFICIAL blood circulation; EXTRACORPOREAL membrane oxygenation; HEART diseases
- Publication
European Journal of Pediatrics, 2009, Vol 168, Issue 3, p351
- ISSN
0340-6199
- Publication type
journal article
- DOI
10.1007/s00431-008-0748-4