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The Annals of Thoracic Surgery, Vol 57, 1647-1649, Copyright © 1994 by The Society of Thoracic Surgeons

ARTICLES

Bilateral main bronchial compression caused by the ductal ligament

T Sugita, A Mori, S Watarida, M Onoe, S Shiraishi, T Nojima and Y Nakajima
Second Department of Surgery, Shiga University of Medical Science, Otsu, 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 following 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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Copyright © 1994 by The Society of Thoracic Surgeons.