• Title/Summary/Keyword: bronchus

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Clinical Application of Pulmonary Vein Wedge Angiography (Pulmonary Vein Wedge Angiography 의 임상적 이용)

  • 문경훈
    • Journal of Chest Surgery
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    • v.20 no.3
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    • pp.544-547
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    • 1987
  • Pulmonary vein wedge angiography was applied to two patients of 2 years old TOF with PFO. Left pulmonary artery was not visualized by standard right ventriculogram and catheter was not entered into main pulmonary artery. Through PFO and left atrium, pulmonary vein wedge angiography at left lower pulmonary vein was done. The ipsilateral pulmonary artery & its trees in both cases and the contralateral pulmonary artery in one case were well visualized. Dangerous complication, such as massive bronchoconstriction due to extravasation of contrast material into the bronchus, was not developed. Mild coughing was occurred, but well tolerable in both cases. We recommended a dose of 0.8 mL/Kg of contrast material at a rate of 2 to 3 mL/sec and 1 to 2 mL/Kg of flush solution at the same rate by the hand, and routine use of pulmonary vein wedge angiography in cyanotic patients whose pulmonary artery was not visualized by the standard angiography.

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Total Left Lung Atelectasis Secondary to Patent Ductus Arteriosus (동맥관개존증에 합병한 좌전무기폐의 치험례)

  • 오재상
    • Journal of Chest Surgery
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    • v.11 no.3
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    • pp.316-320
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    • 1978
  • This report presents a case of patent ductus arteriosus complicated with total left lung atelectasis and mitral regurgitation. Her mother complained growth retardation and exertional dyspnea. The 3 year old girl had large patent ductus arteriosus [Qp/Qs=5.6] which resulted in moderate pulmonary hypertension, left atrial hypertrophy and enlargement, consequently the left main bronchus was compressed between the dilated left atrium and aorta. We would like conclude the cause of mitral regurgitation as the result of annular dilatation secondary to left atrial enlargement rather than congenital associated to patent ductus arteriosus. 3 weeks later from ligation of patent ductus arteriosus, the left atrial dimension was markedly reduced echocardiographically [from 3.9cm to 2.7cm], and the left lung progressively aerated by halves.

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A clinical study of bronchopleural fistula (기관지흉막루의 임상적 연구)

  • Kim, Jong-Won;Lee, Jong-Rae
    • Journal of Chest Surgery
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    • v.17 no.4
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    • pp.747-752
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    • 1984
  • Bronchopleural fistula is the communication between a bronchus or bronchiole and the pleural space, clinically bronchopleural fistula is usually combined with infection. But pneumothorax is the communication between a peripheral air space such as a ruptured bleb, and the pleural space. The author studies on the 62 bronchopleural fistula patients who were admitted to P.N.U.H. from 1974 to October, 1984 according to causative mechanism which was postresectional origin, non resectional surgical origin and spontaneous origin, and its underlying diseases. The following results were obtained. 1.The causes of BPF: 5.16% was spontaneous origin, 30.6% was postresectional origin, 17.7% was other surgical origin. 2.The causes of BPF after resectional operation: 42.1% was tuberculosis, 21.1% was tumor resectional case. 3.The proper operational method for BPF was thoracoplasty with myoplasty. 4.The average operation for BPF was 2.7 times.

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Traumatic Tracheal Rupture by Blunt Chest Injury -Report of a Case- (비관통성 흉부 손상에 의한 기도 파열 -1례 보고-)

  • 소동문
    • Journal of Chest Surgery
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    • v.28 no.8
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    • pp.801-806
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    • 1995
  • Tracheal rupture by a blunt trauma is an uncommon injury, and its clinical presentations are variable. It is a kind of the modern hazard. Herewith, we report a successful management of the tracheal rupture. A 22 year-old female was transferred from other hospital 4 hours after a car crash. Physical examination, simple chest X-ray, Chest CT and fiberoptic bronchoscopy revealed rupture of the membranous portion of the trachea about 5cm in length extending to the right main bronchus. Ruptured membraous portion of the trachea was sutured directly with absorbable suture. Her postoperative course was uneventful, and follow-up fiberoptic bronchoscopy revealed intact membranous portion of the trachea.

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Surgical Management of Occult Foreign Body in the Bronchus Intermedius (중간 기관지 내 이물의 수술적 치료)

  • Kim, Jae-Bum;Park, Chang-Kwon
    • Korean Journal of Bronchoesophagology
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    • v.16 no.1
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    • pp.51-54
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    • 2010
  • Occult bronchial foreign body is that long-standing foreign body lodge in bronchial tree. Occult bronchial foreign bodies arc rare in adults, whereas tracheobronchial aspiration of foreign bodies occurs commonly in children. A 65-year-old man with chronic cough, sputum production, and fever was transferred for treatment of right middle and lower lobc collapse and obstructive pneumonitis as evidenced by imaging studies. The patient was treated with right middle-lower bilobectomy because fiberoptic bronchoscopic removal of the foreign body failed. We report this case with review of literatures.

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Anterior Mediastinal Teratoma which was Ruptured into Right Pleural Cavity Simulating Chronic Empyema Thoracis -One case Report- (만성 농흉으로 오진되었던 전방종격의 기형종 치험 1예)

  • 이두연
    • Journal of Chest Surgery
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    • v.10 no.1
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    • pp.59-64
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    • 1977
  • Mediastinal tumor are frequently encountered in clinical practice. Hanten, in 1955, reported-2 adult patients with spontaneous rupture of mediastinal dermoid cysts into the pleural cavity and also, Thompson, in 1963, reported 2 child patients with spontaneous rupture of mediastinal teratoma into the pleural cavity. Mediastinal teratomas have also been reported rupture into other contiguous structures, such as the bronchus, aorta, pericardium, SVC and esophagus. This report presents an instance of spontaneous rupture of an anterior mediastinal teratoma into the right pleural cavity of a 43 year old female. Despite variable diagnostic procedures, the true nature of the lesion was not determined until a thoracotomy and window formation was performed for adequate drainage of empyema thoracis. Removal of the teratoma and mediastinal window formation resulted in complete cure.

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Two Cases of Glomus Tumor Arising in Large Airway: Well Organized Radiologic, Macroscopic and Microscopic Findings

  • Choi, In Ho;Song, Dae Hyun;Kim, Jhingook;Han, Joungho
    • Tuberculosis and Respiratory Diseases
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    • v.76 no.1
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    • pp.34-37
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    • 2014
  • Glomus tumors of the lung are rare benign neoplasm, originating from modified smooth muscle cells. The patients are usually presented with no or non-specific symptoms such as cough, dyspnea or hemoptysis. Although surgical treatment is considered as the treatment of choice, the endobronchial therapy can be applied to the patients who are unfit for surgical excision. Herein, we describe two rare cases of glomus tumor originated at large airway (trachea and main bronchus) without respiratory symptoms and review their characteristic radiologic, macroscopic and pathological features.

Endobronchial Schwannoma Treated by Rigid Bronchoscopy with Argon Plasma Coagulation

  • Lee, Bo Ram;Choi, Yoo Duk;Kim, Yu Il;Lim, Sung Chul;Kwon, Yong Soo
    • Tuberculosis and Respiratory Diseases
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    • v.73 no.3
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    • pp.174-177
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    • 2012
  • Primary endobronchial schwannomas are extremely rare tumors that originate from Schwann cells. We report a case of primary endobronchial schwannoma. A 44-year-old woman, without respiratory symptoms, was presented with a nodule in the left main bronchus on her chest computed tomography scan. The nodule was removed by a rigid bronchoscopy with argon plasma coagulation. Biopsy confirmed the diagnosis of schwannoma. There was no recurrence during her 4-month follow-up.

Foreign Bodies Lodged in Bronchus and Esophagus for a Long Period (장기간 체류한 기관지 및 식도이물)

  • 성창섭;조태환;최상규;탁기식;이웅렬;배홍갑
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1982.05a
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    • pp.5.1-5
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    • 1982
  • Foreign bodies in airway and food passage commonly occur by accident, and in most cases they get removed without delay. But sometimes, because of patron's ignorance and lack of physician's eagerness in examination, the possible presence of foreign body is overlooked. And patient with subsequent symptoms is transferred to ENT department after managed by non-otolaryngologist for a long time. We had experienced and studied two cases of foreign bodies which had been lodged for a long period.

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A Case of Bronchial Foreign Body With Contralateral Pneumothorax (기흉을 동반한 기도이물 1예)

  • 나기상;김무명;김광현;박찬일
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1982.05a
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    • pp.5.3-6
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    • 1982
  • Foreign body in the air passage is not uncommon in the field of otolaryngology. The majority of bronchial foreign bodies can be removed by bronchoscopy, but some cases may require surgical procedure. Recently, we experienced an impacted foreign body (ball-pointed pen cap) in the left main bronchus with pneumothorax on the right side. Authors tried bronchoscopic removal under the general anesthesia but failed. Lateral thoracotomy was performed by chest surgeon and foreign body was successfully removed.

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