Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2017 Nov 30:3:174.
doi: 10.21037/jovs.2017.10.15. eCollection 2017.

Congenital bronchial atresia in adults: thoracoscopic resection

Akram Traibi  1 , Agathe Seguin-Givelet  1   2 , Madalina Grigoroiu  1 , Emmanuel Brian  1 , Dominique Gossot  1
Affiliations
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.

PubMed Disclaimer

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.
See this image and copyright information in PMC

References

    1. Hardee S, Tuzovic L, Silva CT, et al. Congenital Cystic Lung Lesions: Evolution From In-utero Detection to Pathology Diagnosis-A Multidisciplinary Approach. Pediatr Dev Pathol 2017;20:403-10. 10.1177/1093526617698604 - DOI - PubMed
    1. Asada M, Yano S, Okayasu K, et al. A case report of congenital bronchial atresia--a review of 43 cases in Japan. Nihon Kyobu Geka Gakkai Zasshi 1991;39:463-8. - PubMed
    1. Igai H, Kamiyoshihara M, Nagashima T, et al. Anatomical segmentectomy for pneumothorax associated with congenital bronchial atresia. Eur J Cardiothorac Surg 2013;43:198. 10.1093/ejcts/ezs377 - DOI - PubMed
    1. Matsuoka K, Ueda M, Miyamoto Y. Mycobacterium avium infection complicating congenital bronchial atresia. Asian Cardiovasc Thorac Ann 2016;24:808-10. 10.1177/0218492316661463 - DOI - PubMed
    1. Cappeliez S, Lenoir S, Validire P, et al. Totally endoscopic lobectomy and segmentectomy for congenital bronchial atresia. Eur J Cardiothorac Surg 2009;36:222-4. 10.1016/j.ejcts.2009.02.051 - DOI - PubMed

LinkOut - more resources