Successful bronchotracheal reconstruction in esophageal bronchus: Two case reports

J. L. Michel, Y. Revillon, C. Salakos, J. De Blic, D. Jan, A. Beringer, P. Scheinmann

Research output: Contribution to journalArticle

18 Scopus citations

Abstract

Esophageal bronchus is the most common congenital bronchopulmonary foregut malformation. Current surgical treatment is resection of anomalous pulmonary tissue, which is often hypoplastic and destroyed by infection. The authors report two cases of bronchotracheal reconstruction. The diagnosis was early, before 15 days of age. The anomalous pulmonary tissue had a pulmonary arterial supply and venous drainage as assessed by angiography and a good functional capacity on selective ventilation. Bronchotracheal anastomosis was successful in both cases: a right main bronchus at 25 days of age and a left main bronchus at 13 days of age. One child underwent reoperation 1 year later for bronchomalacia of the reimplanted bronchus. Both children are well with normal growth 3 and 7 years after surgery. Chest roentgenograms showed normal and symmetrical lung aeration. Tracheal reimplantation may be prefered to pulmonary resection when the anomalous pulmonary tissue is not destroyed. The pulmonary functional capacity is increased and the complications of pneumonectomy avoided.

Original languageEnglish (US)
Pages (from-to)739-742
Number of pages4
JournalJournal of Pediatric Surgery
Volume32
Issue number5
DOIs
StatePublished - May 1997
Externally publishedYes

Keywords

  • Bronchopulmonary foregut malformation
  • bronchotracheal reconstruction
  • esophageal bronchus

ASJC Scopus subject areas

  • Surgery
  • Pediatrics, Perinatology, and Child Health

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    Michel, J. L., Revillon, Y., Salakos, C., De Blic, J., Jan, D., Beringer, A., & Scheinmann, P. (1997). Successful bronchotracheal reconstruction in esophageal bronchus: Two case reports. Journal of Pediatric Surgery, 32(5), 739-742. https://doi.org/10.1016/S0022-3468(97)90021-X