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Accessory‐lobed accessory cardiac bronchus: Presentation and treatment in a pediatric patient
Author(s) -
Volpe Andrea,
Bozzetto Sara,
Baraldi Eugenio,
Gamba Piergiorgio
Publication year - 2017
Publication title -
pediatric pulmonology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.866
H-Index - 106
eISSN - 1099-0496
pISSN - 8755-6863
DOI - 10.1002/ppul.23776
Subject(s) - medicine , bronchus , thoracotomy , right main bronchus , pneumonia , bronchoscopy , supernumerary , surgery , radiology , respiratory disease , anatomy , lung
Abstract Accessory cardiac bronchus (ACB) is a supernumerary bronchus usually arising from right main or intermediate bronchus. We report the case of a 9‐year‐old male who presented a 6‐month history characterized by two right pneumonia episodes followed by persistent productive cough, recurrent bloody sputum, and chest x‐ray persistence of a segmental thickening of right inferior lobe. Bronchoscopy revealed no abnormalities. Computed tomography documented an accessory‐lobed ACB originating from right lower brochus. Surgical removal of ACB and related parenchyma was approached thoracoscopically and converted to thoracotomy for evidence of a bronchial injury. Two‐year follow‐up showed no recurrent infections or respiratory symptoms.