M, G., A M, K., E, S., A, W. (2018). High Tracheal Bifurcation as a Cause of Left Main Bronchus Obstruction in Infant: A case report from Saudi Arabia. The Egyptian Journal of Hospital Medicine, 72(3), 4075-4077. doi: 10.21608/ejhm.2018.9119
Gawahir M; Khalid A M; Safa E; Wadha A. "High Tracheal Bifurcation as a Cause of Left Main Bronchus Obstruction in Infant: A case report from Saudi Arabia". The Egyptian Journal of Hospital Medicine, 72, 3, 2018, 4075-4077. doi: 10.21608/ejhm.2018.9119
M, G., A M, K., E, S., A, W. (2018). 'High Tracheal Bifurcation as a Cause of Left Main Bronchus Obstruction in Infant: A case report from Saudi Arabia', The Egyptian Journal of Hospital Medicine, 72(3), pp. 4075-4077. doi: 10.21608/ejhm.2018.9119
M, G., A M, K., E, S., A, W. High Tracheal Bifurcation as a Cause of Left Main Bronchus Obstruction in Infant: A case report from Saudi Arabia. The Egyptian Journal of Hospital Medicine, 2018; 72(3): 4075-4077. doi: 10.21608/ejhm.2018.9119
High Tracheal Bifurcation as a Cause of Left Main Bronchus Obstruction in Infant: A case report from Saudi Arabia
1Pediatric Pulmonary division, King Fahad Medical City (KFMC)
2Pediatric Pulmonary Division, King Khalid Hospital/ King Saud University
3Pediatric Pulmonary division, King Fahad Medical City(KFMC)
4Pediatric Pulmonary and Sleep Physician, Head of the Pulmonary Unit, KFMC, KSA
Abstract
Background: Congenital short trachea (CST) an uncommon abnormality is defined as a reduction in the number of tracheal rings to 15 or less, compared to the average of 17 rings in normal infants. As a result, the carina is situated at a higher level than usual that lead the left main bronchus to course abnormally behind the arch of the aorta, making it prone to compression. CST is associated with a number of syndromes, including the Di George syndrome, several types of congenital heart disease, some skeletal dysplasias and meningomyelocoele. Case study: We report a case of one Saudi infant who presented with respiratory distress since birth and hyperinflation of left side of the lung secondary to extrinsic narrowing of proximal left main stem bronchus due to compression by arch of the aorta, and he underwent successful aortopexy of the aortic arch for this condition.
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