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Nadir Görülen Bronş Basısı Nedeni: Hafif Pulmoner Hipertansiyon

Year 2019, Volume 13, Issue 5, 391 - 394, 23.09.2019
https://doi.org/10.12956/tchd.562719

Abstract

Atriyal septal defekt  (ASD) ve ventriküler septal defekt (VSD) en sık görülen konjenital kalp anomalileridir. Bu olgu sunumunda ASD ve VSD’ye ikincil gelişen hafif pulmoner arteryel hipertansiyonla (PAH) birlikte seyreden, solunum ve böbrek yetmezliği nedeniyle entübe edilmiş olan altı aylık kız hasta takdim edilmiştir. Ekstübasyon başarısızlığına neden olan sol total atelektazinin sık tekrar etmesi nedeniyle hasta bronş basısı açısından incelendiğinde sağ pulmoner arterin (PA) sol ana bronşa kompresyonu tespit edilmiştir. Aynı seansta ASD ve VSD’nin de kapatıldığı operasyonda sağ PA çıkan aort önüne askıya alınarak bası giderilmiştir. Ameliyat sonrası başarılı bir şekilde ekstübe edilen hasta şifa ile taburcu edilmiştir. Özellikle konjenital kalp hastalığı olan ve aynı lokalizasyonda ortaya çıkan, tekrar eden pulmoner atelektazi olgularında bronş basısı öncelikle düşünülmesi gereken etiyolojilerden birisidir. 



References

  • 1-Wallis C, McLaren CA. Tracheobronchial stenting for airway malacia. Paediatr Respir Rev 2018;27:48-59.
  • 2-Talwar S, Sharma P, Choudhary SK, Kothari SS, Gulati GS, Airan B. Le-Compte’s maneuver for relief of bronchial compression in atrial septal defect. J Card Surg 2011;26:111-3.
  • 3- Eugene Blackstone, Frank Hanley, James Kirklin, Nicholas Kouchoukos. Atrial septal defect and partial anomalous pulmonary venous connection. Kirklin Barratt Boyes Cardiac Surgery. Elsevier Saunders; 4nd ed. Philadelphia 2013:1156.
  • 4-Kussman BD, Geva T, Mcgowan FX Jr. Cardiovascular causes of airway compression. Pediatr Anesth 2004;14: 60-74.
  • 5-Eyüboğlu TŞ, Aslan AT, Öztunalı Ç, Tunaoğlu S, Oğuz AD, Kula S, et. al Unknown vascular compression of the airway in patients with congenital heart disease and persistent lower respiratory symptoms, Turk J Med Sci 2017;13:1384-92
  • 6-Berlinger NT, Long C, Foker J, Lucas RV Jr. Tracheobronchial compression in acyanotic congenital heart disease. Ann Otol Rhinol Laryngol 1983;92:387-90.
  • 7- Stanger P, Lucas RV Jr, Edwards JE. Anatomic factors causing respiratory distress in acyanotic congenital cardiac disease. Special reference to bronchial obstruction. Pediatrics 1969;43:760-9.
  • 8-Kulik TJ .Department of Cardiology, Division of Cardiac Critical Care, and the Pulmonary Hypertension Program, Children’s Hospital Boston, Boston, Massachusetts, USA. Pulm Circ 2012;2:327.
  • 9- Hraska V, Photiadis J, Schindler E, Sinzobahamvya N,Fink C,Haun C, et al. A novel approach to the repair of tetralogy of Fallot with absent pulmonary valve and the reduction of airway compression by the pulmonary artery. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu 2009;12:59-62.
  • 10- Nomura N, Asano M, Mizuno A, Mishima A. Translocation of dilated pulmonary artery for relief of bronchial compression associated with ventricular septal defect. Eur J Cardiothorac Surg 2007;32:937-9.
  • 11-Zopf DA, Hollister SJ, Nelson ME, Ohye RG, Green GE. Bioresorbable Airway Splint Created with a Three-Dimensional Printer. N Engl J Med 2013;21:2043-5.

A Rare Cause of Bronchial Compression: Mild Pulmonary Hypertension

Year 2019, Volume 13, Issue 5, 391 - 394, 23.09.2019
https://doi.org/10.12956/tchd.562719

Abstract

Atrial septal defect (ASD) and ventricular septal defect (VSD) are the most common congenital heart anomalies. In this case report, a six-month-old girl with mild pulmonary arterial hypertension (PAH) secondary to ASD and VSD was presented. The patient was admitted due to respiratory failure and renal insufficiency. Evaluation for recurrent extubation failures secondary to left total atelectasis yielded right pulmonary arterial (PA) compression to the left main bronchus. Compression was relieved with right pulmonary arteriopexy with ASD and VSD closure in the same session. The patient was extubated successfully in the immediate postoperative period and eventually discharged home. Bronchial compression should be considered especially in patients with congenital heart disease and recurrent cases of atelectasis in the same location.



References

  • 1-Wallis C, McLaren CA. Tracheobronchial stenting for airway malacia. Paediatr Respir Rev 2018;27:48-59.
  • 2-Talwar S, Sharma P, Choudhary SK, Kothari SS, Gulati GS, Airan B. Le-Compte’s maneuver for relief of bronchial compression in atrial septal defect. J Card Surg 2011;26:111-3.
  • 3- Eugene Blackstone, Frank Hanley, James Kirklin, Nicholas Kouchoukos. Atrial septal defect and partial anomalous pulmonary venous connection. Kirklin Barratt Boyes Cardiac Surgery. Elsevier Saunders; 4nd ed. Philadelphia 2013:1156.
  • 4-Kussman BD, Geva T, Mcgowan FX Jr. Cardiovascular causes of airway compression. Pediatr Anesth 2004;14: 60-74.
  • 5-Eyüboğlu TŞ, Aslan AT, Öztunalı Ç, Tunaoğlu S, Oğuz AD, Kula S, et. al Unknown vascular compression of the airway in patients with congenital heart disease and persistent lower respiratory symptoms, Turk J Med Sci 2017;13:1384-92
  • 6-Berlinger NT, Long C, Foker J, Lucas RV Jr. Tracheobronchial compression in acyanotic congenital heart disease. Ann Otol Rhinol Laryngol 1983;92:387-90.
  • 7- Stanger P, Lucas RV Jr, Edwards JE. Anatomic factors causing respiratory distress in acyanotic congenital cardiac disease. Special reference to bronchial obstruction. Pediatrics 1969;43:760-9.
  • 8-Kulik TJ .Department of Cardiology, Division of Cardiac Critical Care, and the Pulmonary Hypertension Program, Children’s Hospital Boston, Boston, Massachusetts, USA. Pulm Circ 2012;2:327.
  • 9- Hraska V, Photiadis J, Schindler E, Sinzobahamvya N,Fink C,Haun C, et al. A novel approach to the repair of tetralogy of Fallot with absent pulmonary valve and the reduction of airway compression by the pulmonary artery. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu 2009;12:59-62.
  • 10- Nomura N, Asano M, Mizuno A, Mishima A. Translocation of dilated pulmonary artery for relief of bronchial compression associated with ventricular septal defect. Eur J Cardiothorac Surg 2007;32:937-9.
  • 11-Zopf DA, Hollister SJ, Nelson ME, Ohye RG, Green GE. Bioresorbable Airway Splint Created with a Three-Dimensional Printer. N Engl J Med 2013;21:2043-5.

Details

Primary Language Turkish
Subjects General and Internal Medicine
Journal Section CASE REPORTS
Authors

Şahin SİNCAR> (Primary Author)
Gazi üniversitesi Tıp Fakültesi, Çocuk Sağlığı Hastalıkları AnabilimDalı, Çocuk Yoğun Bakım Bilim Dalı
0000-0000-0000-0000

Publication Date September 23, 2019
Application Date October 3, 2018
Acceptance Date December 14, 2018
Published in Issue Year 2019, Volume 13, Issue 5

Cite

Bibtex @case report { tchd562719, journal = {Türkiye Çocuk Hastalıkları Dergisi}, issn = {1307-4490}, eissn = {2148-3566}, address = {Şehit Ömer Halisdemir Cad. Kurtdereli Sok. No:10 ANKARA}, publisher = {T.C. Sağlık Bakanlığı Ankara Şehir Hastanesi}, year = {2019}, volume = {13}, number = {5}, pages = {391 - 394}, doi = {10.12956/tchd.562719}, title = {Nadir Görülen Bronş Basısı Nedeni: Hafif Pulmoner Hipertansiyon}, key = {cite}, author = {Sincar, Şahin} }
APA Sincar, Ş. (2019). Nadir Görülen Bronş Basısı Nedeni: Hafif Pulmoner Hipertansiyon . Türkiye Çocuk Hastalıkları Dergisi , 13 (5) , 391-394 . DOI: 10.12956/tchd.562719
MLA Sincar, Ş. "Nadir Görülen Bronş Basısı Nedeni: Hafif Pulmoner Hipertansiyon" . Türkiye Çocuk Hastalıkları Dergisi 13 (2019 ): 391-394 <https://dergipark.org.tr/en/pub/tchd/issue/48900/562719>
Chicago Sincar, Ş. "Nadir Görülen Bronş Basısı Nedeni: Hafif Pulmoner Hipertansiyon". Türkiye Çocuk Hastalıkları Dergisi 13 (2019 ): 391-394
RIS TY - JOUR T1 - A Rare Cause of Bronchial Compression: Mild Pulmonary Hypertension AU - ŞahinSincar Y1 - 2019 PY - 2019 N1 - doi: 10.12956/tchd.562719 DO - 10.12956/tchd.562719 T2 - Türkiye Çocuk Hastalıkları Dergisi JF - Journal JO - JOR SP - 391 EP - 394 VL - 13 IS - 5 SN - 1307-4490-2148-3566 M3 - doi: 10.12956/tchd.562719 UR - https://doi.org/10.12956/tchd.562719 Y2 - 2018 ER -
EndNote %0 Turkish Journal of Pediatric Disease Nadir Görülen Bronş Basısı Nedeni: Hafif Pulmoner Hipertansiyon %A Şahin Sincar %T Nadir Görülen Bronş Basısı Nedeni: Hafif Pulmoner Hipertansiyon %D 2019 %J Türkiye Çocuk Hastalıkları Dergisi %P 1307-4490-2148-3566 %V 13 %N 5 %R doi: 10.12956/tchd.562719 %U 10.12956/tchd.562719
ISNAD Sincar, Şahin . "Nadir Görülen Bronş Basısı Nedeni: Hafif Pulmoner Hipertansiyon". Türkiye Çocuk Hastalıkları Dergisi 13 / 5 (September 2019): 391-394 . https://doi.org/10.12956/tchd.562719
AMA Sincar Ş. Nadir Görülen Bronş Basısı Nedeni: Hafif Pulmoner Hipertansiyon. Türkiye Çocuk Hast Derg. 2019; 13(5): 391-394.
Vancouver Sincar Ş. Nadir Görülen Bronş Basısı Nedeni: Hafif Pulmoner Hipertansiyon. Türkiye Çocuk Hastalıkları Dergisi. 2019; 13(5): 391-394.
IEEE Ş. Sincar , "Nadir Görülen Bronş Basısı Nedeni: Hafif Pulmoner Hipertansiyon", Türkiye Çocuk Hastalıkları Dergisi, vol. 13, no. 5, pp. 391-394, Sep. 2019, doi:10.12956/tchd.562719


Dear authors, Since the Turkish Journal of Pediatrics will continue to be published in English as of 01.01.2022, only English-language articles will be accepted for your articles to be submitted for evaluation in order to prepare the necessary infrastructure as of 01.11.2021.



The aim of the Turkish Journal of Pediatrics is to publish high-quality original research articles that will contribute to the international literature in the field of general pediatric health and diseases and its sub-branches. It also publishes editorial opinions, letters to the editor, reviews, case reports, book reviews, comments on previously published articles, meeting and conference proceedings, announcements, and biography. In addition to the field of child health and diseases, the journal also includes articles prepared in fields such as surgery, dentistry, public health, nutrition and dietetics, social services, human genetics, basic sciences, psychology, psychiatry, educational sciences, sociology and nursing, provided that they are related to this field. can be published.