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Takaaki Sugita
Atsumi Mori
Shoji Watarida
Masahiko Onoe
Shoichiro Shiraishi
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Ann Thorac Surg 1994;57:1647-1649
© 1994 The Society of Thoracic Surgeons

Articles

Bilateral main bronchial compression caused by the ductal ligament

Takaaki Sugita, MD*, Atsumi Mori, MD, Shoji Watarida, MD, Masahiko Onoe, MD, Shoichiro Shiraishi, MD, Takehisa Nojima, MD, Yasuhiko Nakajima, MD

Second Department of Surgery, Shiga University of Medical Science, Otsu, Japan

Accepted for publication August 30, 1993.

* Address reprint requests to Dr Sugita, Second Department of Surgery, Shiga University of Medical Science, Seta-tsukinowa, Otsu, Shiga, 520-521 Japan.

Several authors have reported cases of respiratory distress resulting from bronchial compression due to a hypertensive pulmonary artery in the setting of a large left-to-right shunt. However, respiratory distress due to bilateral main bronchial compression due to an enlarged pulmonary artery suspended posteriorly by the ductal ligament fallowing repair of a ventricular septal defect is extremely rare. In this report, we advocate the necessity of dividing the ductal ligament in some patients with large left-to-right shunts when there are episodes of idiopathic respiratory distress before operation.






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