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Ann Thorac Surg 1978;25:184-192
© 1978 The Society of Thoracic Surgeons

Articles

Bronchial Atresia

Ronald L. Meng, M.D., Robert J. Jensik, M.D., L. Penfield Faber, M.D., Guy R. Matthew, M.D., C. Frederick Kittle, M.D.*

Departments of Cardiovascular-Thoracic Surgery and Diagnostic Radiology, Rush-Presbyterian-St. Luke's Medical Center, Chicago, IL.

Accepted for publication August 15, 1977.

* Address reprint requests to Dr. Kittle, Department of Cardiovascular-Thoracic Surgery, Rush-Presbyterian-St. Luke's Medical Center, 1753 W Congress Pkwy, Chicago, IL 60612

Bronchial atresia is a rare congenital anomaly usually producing an extrahilar mass and associated distal hyperinflation on chest roentgenogram. Bronchography reveals nonfilling of the atretic bronchus and displacement of neighboring normal bronchi. Characteristically, the patient is young and asymptomatic but has an abnormal chest roentgenogram. The only physical finding may be decreased breath sounds over the affected parenchyma. Treatment is surgical excision to prevent recurrent or persistent infection and encroachment on normal tissues by the hyperinflated lung. A case report and a review of 34 patients are presented.




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