Abstract
We report an adult case of accessory cardiac bronchus (ACB) which extended from the carina to the diaphragm. A 32-year-old woman, with a history of frequent respiratory infections since childhood, recently presented with bloody sputum, and was admitted to our hospital. The ACB was detected as a supernumerary bronchus diverging from tracheal bifurcation. Complete resection of the ACB was performed by video-assisted thoracic surgery via minithoracotomy, approaching from the 5th intercostal space. The bloody sputum was caused by chronic inflammation of the ACB. She has been asymptomatic since surgery.
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McGuinness G, Naidich DP, Garay SM, Davis AL, Boyd AD, Mizrachi HH. Accessory cardiac bronchus: CT features and clinical significance. Radiology 1993; 189: 563–6.
Ghaye B, Kos X, Dondelinger RF. Accessory cardiac bronchus: 3D CT demonstration in nine cases. Eur Radiol 1999; 9: 45–8.
Brock RC. The anatomy of the bronchial tree with special reference to surgery of the lung. London: Oxford University Press, 1946.
Ghaye B, Szapiro D, Franchamps JM, Dondelinger RF. Congenital bronchial abnormalities revisited. Radiographics 2001; 21: 105–19.
Mangiulea VG, Stinghe RV. The accessory cardiac bronchus. Bronchologic aspect and review of the literature. Dis Chest 1968; 54: 433–6.
Yasuba H, Yasui K, Kado M, Shindo T. A case of two bronchogenic cysts connecting with a supernumerary bronchus (Eng abstr). J Jpn Society Bronchology 1994; 16: 28–32.
Suzuki M, Hirata S. A case of accessory cardiac bronchus with acute empyema treated by open drainage (Eng abstr). Nippon Kyobu Shikkan Gakkai Zasshi 1991; 29: 600–5.
Endo S, Saitoh N, Murayama F, Sohara Y, Fuse K. Symptomatic accessory cardiac bronchus. Ann Thorac Surg 2000; 69: 262–4.
Miyahara R, Hasegawa S, Yoshimura T, Wada H. A case of squamous cell carcinoma arising from accessory cardiac bronchus. Eur J Cardiothorac Surg 2002; 22: 309.
Cioffi U, Bonavina L, De Simone M, Santambrogio L, Pavoni G, Testori A, et al. Presentation and surgical management of bronchogenic and esophageal duplication cysts in adults. Chest 1998; 113: 1492–6.
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Katayama, K., Tsuyuguchi, M., Hino, N. et al. Adult case of accessory cardiac bronchus presenting with bloody sputum. Jpn J Thorac Caridovasc Surg 53, 641–644 (2005). https://doi.org/10.1007/BF02665076
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DOI: https://doi.org/10.1007/BF02665076