Portal de Periódicos da CAPES

Asplenia Syndrome With Bilateral Tracheal Bronchi

2008; Lippincott Williams & Wilkins; Volume: 118; Issue: 2 Linguagem: Inglês

10.1161/circulationaha.107.763458

1524-4539

Ming Zhu, Shao Hong, Biao Jin,

Esophageal and GI Pathology

HomeCirculationVol. 118, No. 2Asplenia Syndrome With Bilateral Tracheal Bronchi Free AccessReview ArticlePDF/EPUBAboutView PDFView EPUBSections ToolsAdd to favoritesDownload citationsTrack citationsPermissions ShareShare onFacebookTwitterLinked InMendeleyReddit Jump toFree AccessReview ArticlePDF/EPUBAsplenia Syndrome With Bilateral Tracheal Bronchi Zhu Ming, Shao Hong and Jin Biao Zhu MingZhu Ming From the Shanghai Children's Medical Center, Shanghai, China. , Shao HongShao Hong From the Shanghai Children's Medical Center, Shanghai, China. and Jin BiaoJin Biao From the Shanghai Children's Medical Center, Shanghai, China. Originally published8 Jul 2008https://doi.org/10.1161/CIRCULATIONAHA.107.763458Circulation. 2008;118:196–197From July 2005 to December 2007, 21 consecutive children with asplenia syndrome underwent 16-row multidetector computed tomography (MDCT) examination. Minimum-intensity projection reconstruction was performed to show tracheobronchial tree in every case using a workstation. Among the 21 patients with asplenia syndrome, 16 had bilateral right-side bronchi and 5 (24%) had bilateral tracheal bronchi (Figure). All patients with bilateral tracheal bronchi received surgery, during which the imaging findings were confirmed. Download figureDownload PowerPointFigure. Asplenia syndrome with bilateral tracheal bronchi, A, Six-month-old girl. The reconstructed MDCT image shows bilateral tracheal bronchi and diaphragmatic hernia. B, Four-year-old boy. The reconstructed MDCT image shows bilateral tracheal bronchi, left upper lobe emphysema, and right upper lobe atelectasis. C, Five-month-old girl. The reconstructed MDCT image shows bilateral tracheal bronchi and left upper lobe emphysema. D, Three-year-old boy. The reconstructed MDCT image shows bilateral tracheal bronchi.Tracheal bronchus was first described in 1785 as an airway malformation of the right upper bronchus originating in the trachea. The tracheal bronchus usually exits the right lateral wall of the trachea and can supply the entire upper lobe or its apical segment.1 The possibility of this diagnosis should be considered early in the clinical course of intubated patients. The condition could be complicated in children by persistent right upper lobe atelectasis if the presence of a tracheal bronchus was not recognized initially.2Patients with asplenia syndrome lack a spleen, and they typically have a bilateral right-sided tendency. Bronchi of both sides can be considered right-side bronchi in patients with asplenia syndrome.3 Thus, the bilateral tracheal bronchi can be considered bilateral right bronchi.DisclosuresNone.FootnotesCorrespondence to Zhu Ming, MD, Shanghai Children's Medical Center, 1678 Dongfang Rd, Shanghai 200127, China. E-mail [email protected]References1 Berrocal T, Madrid C, Novo S, Gutierrez J, Arjonilla A, Gomez-Leon N. Congenital anomalies of the tracheobronchial tree, lung, and mediastinum: embryology, radiology, and pathology. Radiographics. 2004; 24: e17. Abstract.CrossrefMedlineGoogle Scholar2 O'Sullivan BP, Frassica JJ, Rayder SM. Tracheal bronchus: a cause of prolonged atelectasis in intubated children. Chest. 1998; 113: 537–540.CrossrefMedlineGoogle Scholar3 Deanfield JE, Leanage R, Stroobant J, Chrispin AR, Taylor JF, Macartney FJ. Use of high kilovoltage filtered beam radiography for detection of bronchial situs in infants and young children. Br Heart J. 1980; 44: 577–583.CrossrefMedlineGoogle Scholar Previous Back to top Next FiguresReferencesRelatedDetailsCited By Bae K and Jeon K (2023) Left Bronchial Isomerism with Right-Sided Tracheal Bronchus: A Rare Case Report, Diagnostics, 10.3390/diagnostics13040751, 13:4, (751) Moreno M, Castillo‐Corullón S, Pérez‐Ruiz E, Luna M, Antón‐Pacheco J, Mondejar‐Lopez P, De‐la‐Serna O, Villa J, Osona B, Torres‐Borrego J, Santiago‐Burruchaga M, Asensio O, Andres‐Martin A, Delgado‐Pecellin I, González Y, Palmero A and Escribano A (2019) Spanish multicentre study on morbidity and pathogenicity of tracheal bronchus in children, Pediatric Pulmonology, 10.1002/ppul.24435, 54:10, (1610-1616), Online publication date: 1-Oct-2019. Yim D, Nagata H, Lam C, Grosse-Wortmann L, Seed M, Jaeggi E and Yoo S (2018) Disharmonious Patterns of Heterotaxy and Isomerism, Circulation: Cardiovascular Imaging, 11:2, Online publication date: 1-Feb-2018. Wooten C, Doros C, Miclaus G, Matusz P and Loukas M (2014) A case of bilateral tracheal bronchus: report of a rare association in multidetector computed tomography bronchoscopy, Surgical and Radiologic Anatomy, 10.1007/s00276-014-1383-6, 37:6, (693-696), Online publication date: 1-Aug-2015. July 8, 2008Vol 118, Issue 2 Advertisement Article InformationMetrics https://doi.org/10.1161/CIRCULATIONAHA.107.763458PMID: 18606929 Originally publishedJuly 8, 2008 PDF download Advertisement SubjectsComputerized Tomography (CT)Congenital Heart DiseaseDevelopmental Biology