Right pulmonary agenesis associated with remaining bronchus stenosis, an equivalent of postpneumonectomy syndrome. Treatment by insertion of tissue expander in the thoracic cavity

We report a case of right pulmonary agenesis with worsening of mediastinal shift during a viral bronchiolitis at the age of 5 months. The respiratory failure was due to stretching and narrowing of the remaining bronchus, as in postpneumonectomy syndrome. Weaning of respiratory assistance was possibl...

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Bibliographic Details
Published in:Pediatric surgery international 2005-02, Vol.21 (2), p.121-122
Main Authors: Dobremez, E, Fayon, M, Vergnes, P
Format: Article
Language:English
Subjects:
Bronchial Diseases - complications
Bronchial Diseases - surgery
Constriction, Pathologic
Humans
Infant
Lung - abnormalities
Male
Tissue Expansion Devices
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Summary:We report a case of right pulmonary agenesis with worsening of mediastinal shift during a viral bronchiolitis at the age of 5 months. The respiratory failure was due to stretching and narrowing of the remaining bronchus, as in postpneumonectomy syndrome. Weaning of respiratory assistance was possible after inserting a tissue expander in the empty side of the thoracic cavity. The correction of the shift brought a liberation of the left main stem bronchus. The main risk is heart compression. The child is now 3 years old and is at home. Filling of the prosthesis is done according to the clinical evolution.
ISSN:0179-0358
1437-9813
DOI:10.1007/s00383-004-1362-9