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Three-Dimensional Computed Tomographic Findings of Bilateral Tracheal Bronchus

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Abstract

A newborn male was admitted with cyanosis and respiratory distress. Echocardiography showed a right heart isomerism associated with a single right ventricle, a double-outlet right ventricle, and pulmonary atresia. Chest X-ray demonstrated severe left upper lobe emphysema and a shift of the mediastinal structures to the right. Two-dimensional computed tomography (CT) exhibited left upper lobe emphysema and right upper lobe atelectasis. Three-dimensional (3D) spiral CT angiography showed a bilateral tracheal bronchus. The left tracheal bronchus branch was compressed between the descending aorta and the ductus arteriosus. After a right arteriopulmonary shunt operation, the patient’s respiratory condition improved dramatically, with spontaneous closure of the ductus arteriosus. Subsequently, 3D-CT clearly exhibited the disappearance of tracheal compression. This combination of bilateral tracheal bronchus and congenital heart anomaly is extremely rare. The 3D-CT is a powerful noninvasive means for dynamically demonstrating the special relationships of arterial and tracheal anomalies.

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References

  1. Berrocal T, Madrid C, Novo S et al (2004) Congenital anomalies of the tracheobronchial tree, lung, and mediastinum: embryology, radiology, and pathology (abstract). Radiographics 24:e17

    Article  PubMed  Google Scholar 

  2. Cope R, Campbell JR, Wall M (1986) Bilateral tracheal bronchi. J Pediatr Surg 21:443–444

    Article  PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Department of Pediatrics, University of Toyama, Toyama, Japan

    Kazuhiro Watabnabe, Keiichirou Uese, Osamu Higuchi, Takeshi Futatani & Fukiko Ichida

  2. First Department of Surgery, University of Toyama, Toyama, Japan

    Naoki Yoshimura

  3. Kanazawa Medical University, Kanazawa , Japan

    Tsuneyuki Nakamura

Authors
  1. Kazuhiro Watabnabe
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  2. Keiichirou Uese
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  3. Osamu Higuchi
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  4. Takeshi Futatani
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  5. Naoki Yoshimura
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  6. Tsuneyuki Nakamura
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  7. Fukiko Ichida
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Corresponding author

Correspondence to Fukiko Ichida.

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Watabnabe, K., Uese, K., Higuchi, O. et al. Three-Dimensional Computed Tomographic Findings of Bilateral Tracheal Bronchus. Pediatr Cardiol 30, 87–88 (2009). https://doi.org/10.1007/s00246-008-9298-9

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  • DOI: https://doi.org/10.1007/s00246-008-9298-9

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