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Ann Thorac Surg 2006;82:1497-1499
© 2006 The Society of Thoracic Surgeons

Case Reports

Congenital Bronchial Atresia Associated With Spontaneous Pneumothorax

Kotaro Kameyama, MD*, Norihito Okumura, MD, Yujiro Kokado, MD, Kentaro Miyoshi, MD, Tomoaki Matsuoka, MD, Tatsuo Nakagawa, MD

Department of Thoracic Surgery, Kurashiki Central Hospital, Okayama, Japan

Accepted for publication November 10, 2005.

* Address correspondence to Dr Kameyama, Department of Thoracic Surgery, Kurashiki Central Hospital, 1-1-1 Miwa, Kurashiki, Okayama, 710-8602, Japan (Email: kk8724{at}kchnet.or.jp).

A 36-year-old woman presented with left chest pain and frequent symptoms of upper respiratory infection. Chest roentgenograms revealed a left pneumothorax and apical bulla, and hyperlucency in the left pulmonary field. She was diagnosed with congenital bronchial atresia associated with a left spontaneous pneumothorax. A thoracoscopy-assisted left superior segmentectomy was performed. There was no recurrence of the pneumothorax or symptoms of recurrent upper respiratory infection at the 1-year follow-up examination. Bulla formation was believed to have resulted from emphysematous changes in the peripheral lung due to congenital bronchial atresia. The pneumothorax may have occurred due to rupture of the bulla.






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