Abstract
This report discusses a premature complex newborn with persistent pulmonary difficulties following the clipping of the PDA. Bronchoscopy was critical in revealing a metallic clip obstructing the bronchus. Thoracothomy revealed that the clip had been placed across the bronchus. This case illustrates the importance of bronchoscopy in the face of persistent unexplained pulmonary symptoms as well as having clear intraoperative exposure of the anatomy in this region to assure accurate placement of PDA metallic clips.
Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.
MeSH terms
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Adult
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Airway Obstruction / diagnostic imaging
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Airway Obstruction / surgery
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Angiography / methods
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Bronchi / injuries*
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Bronchoscopy / methods
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Cesarean Section
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Ductus Arteriosus, Patent / diagnostic imaging
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Ductus Arteriosus, Patent / surgery*
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Endoscopy / adverse effects
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Endoscopy / methods
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Female
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Follow-Up Studies
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Humans
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Infant, Newborn
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Infant, Premature*
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Ligation / adverse effects*
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Ligation / instrumentation
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Postoperative Complications / diagnostic imaging
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Postoperative Complications / surgery
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Pregnancy
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Pregnancy, Multiple
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Reoperation / methods
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Risk Assessment
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Surgical Instruments / adverse effects*
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Treatment Outcome
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Triplets
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Vocal Cord Paralysis / diagnostic imaging
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Vocal Cord Paralysis / etiology*
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Vocal Cord Paralysis / therapy