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Ann Thorac Surg 2003;75:1308-1310
© 2003 The Society of Thoracic Surgeons

Case report

Lobar emphysema due to ductus arteriosus compressing right upper bronchus in an infant with congenital heart disease

Takashi Hishitani, MD*a, Kiyoshi Ogawa, MDa, Kenji Hoshino, MDa, Yuzuru Nakamura, MDb, Tadashi Iwanaka, MDc, Kayo Masago, MDd, Misako Suzuki, MDd

a Division of Cardiology, Saitama, Japan
b Division of Cardiovascular Surgery, Saitama, Japan
c Division of Surgery, Saitama, Japan
d Division of Anesthesiology, Saitama Children’s Medical Center, Iwatsuki, Saitama, Japan

Accepted for publication October 8, 2002.

* Address reprint requests to Dr Hishitani, Division of Cardiology, Saitama Children’s Medical Center, Magome 2100, Iwatsuki, Saitama 339-8551, Japan
e-mail: a1075097{at}pref.saitama.jp

A 1-month-old boy with tetralogy of Fallot, pulmonary atresia, right aortic arch, and right ductus arteriosus, exhibited progressive right upper lobar emphysema since his birth. The emphysema was caused by the right ductus arteriosus compressing the right upper bronchus. After division of the ductus arteriosus the emphysema completely regressed. We should explore the cause of lobar emphysema thoroughly before lobectomy especially when it is extrinsic. The emphysema may regress by eliminating the extrinsic factor.






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