Bilateral main bronchial compression caused by the ductal ligament

Autor: Sugita, Takaaki, Mori, Atsumi, Watarida, Shoji, Onoe, Masahiko, Shiraishi, Shoichiro, Nojima, Takehisa, Nakajima, Yasuhiko
Zdroj: The Annals of Thoracic Surgery; June 1994, Vol. 57 Issue: 6 p1647-1649, 3p
Abstrakt: Several authors have reported cases of respiratory distress resulting from bronchial compression due to a hypertensive pulmonary artery in the setting of a large left-to-right shunt. However, respiratory distress due to bilateral main bronchial compression due to an enlarged pulmonary artery suspended posteriorly by the ductal ligament fallowing repair of a ventricular septal defect is extremely rare. In this report, we advocate the necessity of dividing the ductal ligament in some patients with large left-to-right shunts when there are episodes of idiopathic respiratory distress before operation.
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