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Congenital Bronchial Atresia in Adults: Thoracoscopic Resection

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Review

Congenital Bronchial Atresia in Adults: Thoracoscopic Resection

Akram Traibi et al. J Vis Surg.

Abstract

Congenital bronchial atresia (CBA) is a rare congenital malformation consisting in an interruption of a lobar or-more frequently-of a segmental bronchus. It leads to mucus impaction and hyperinflation of the obstructed lung segment. It causes infectious complications and, in the long term, destruction of the adjacent lung parenchyma. Thus, a surgical resection is usually indicated, even in asymptomatic patients.

Keywords: Congenital bronchial atresia (CBA); pulmonary resection; thoracoscopy.

Conflict of interest statement

Conflicts of Interest: D Gossot is consultant for an instrument manufacturer (Delacroix Chevalier). The other authors have no conflicts of interest to declare.

Figures

Figure 1
Figure 1
Congenital bronchial atresia of the left basilar segments. (A,B) CT-scan showing a cystic lesion with hypovascularisation; (C) thoracoscopic view before resection; (D) thoracoscopic view after basilar segmentectomy. LUL, left upper lobe.
Figure 2
Figure 2
Congenital bronchial atresia of the left upper lobe involving segments 1, 2 and 3. (A) CT-scan showing a cystic lesion with hypovascularisation; (B) 3D-modelisation demonstrating the demarcation line between normal and pathological parenchyma; (C) 3D-modelisation showing atresia of the B1+2+3 bronchial trunk without communication with the left bronchial tree; (D) thoracoscopic view before resection; (E) thoracoscopic view after basilar segmentectomy. LLL, left lower lobe.

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