Unusual Case of Left Bronchial Compression by Aneurysmal Pulmonary Arteries in a Child With Atrial Septal Defect. (July 2016)

• Record Type: Journal Article
• Authors: Pawar, Ranjit; Kumar, Gaurav; Sharma, Vipul; Dalal, S. S.
• Is Part Of: World journal for pediatric & congenital heart surgery. Volume 7:Number 4(2016)
• Page Start: 509
• Page End: 512
• Publication Date: 2016-07
• Subjects: atrial septal defect -- pulmonary artery aneurysm -- bronchial compression; Pediatric cardiology -- Periodicals; Congenital heart disease in children -- Periodicals; Heart -- Abnormalities -- Surgery -- Periodicals; Heart -- Surgery -- Periodicals; Heart Defects, Congenital -- surgery -- Periodicals; Cardiac Surgical Procedures -- Periodicals; Child -- Periodicals; Adult -- Periodicals; 618.9212
• DOI: 10.1177/2150135115606625
• Languages: English
• ISSNs: 2150-1351

Abstract

We report an uncommon case of large ostium secundum atrial septal defect (ASD) with severe pulmonary arterial hypertension, with associated aneurysmal dilatation of the pulmonary arteries (PAs) leading to compression of the left main bronchus and collapse of the entire left lung in a 15-month-old female child. The patient was managed by surgical closure of the ASD, translocation of the right PA anterior to the aorta with PA aneurysmorrhaphy. Left bronchial compression was relieved with complete lung expansion on the third postoperative day.