|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
|Issue Date:||2009||Journal Volume:||168||Journal Issue:||3||Start page/Pages:||351-353||Source:||European Journal of Pediatrics||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. ? 2008 Springer-Verlag.
|URI:||https://scholars.lib.ntu.edu.tw/handle/123456789/509209||ISSN:||0340-6199||DOI:||10.1007/s00431-008-0748-4||SDG/Keyword:||anamnesis; aorta anomaly; arteriovenous shunt; article; ascending aorta; bronchoscopy; bronchus compression; bronchus disease; case report; clinical feature; computer assisted tomography; disease severity; echocardiography; heart ventricle septum defect; human; infant; male; postoperative period; priority journal; pulmonary valve atresia; stent; Abnormalities, Multiple; Aorta; Aortic Diseases; Aortography; Bronchi; Bronchial Diseases; Bronchography; Constriction, Pathologic; Equipment Failure; Fatal Outcome; Heart Septal Defects, Ventricular; Humans; Imaging, Three-Dimensional; Infant; Male; Prosthesis Implantation; Pulmonary Atresia; Reoperation; Stents; Tomography, X-Ray Computed; Vascular Surgical Procedures
|Appears in Collections:||醫學院附設醫院 (臺大醫院)|
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