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Tracheal bronchus associated with VACTERL.

Venkatesh Kairamkonda1, Kentigern Thorburn, Richard Sarginson

  • 1Department of Paediatric Intensive Care, Royal Liverpool Children's Hospital, Alder Hey, Liverpool L12 2AP, UK.

European Journal of Pediatrics
|March 26, 2003
PubMed
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Tracheal bronchus, a rare anomaly, was identified in a VACTERL association case. Dynamic bronchography confirmed this finding, highlighting its utility in diagnosing tracheobronchial anomalies.

Area of Science:

  • Pediatric Pulmonology
  • Medical Imaging
  • Congenital Anomalies

Background:

  • VACTERL association is a complex condition involving multiple congenital anomalies.
  • Tracheal bronchus (TB) has not been previously reported in association with VACTERL.
  • A 5-month-old infant with VACTERL association presented with respiratory distress.

Observation:

  • The patient required ventilator support post-patent ductus arteriosus (PDA) repair.
  • Chest radiographs revealed persistent right upper lobe hyperinflation.
  • Bronchoscopy identified a laterally displaced right main bronchus and left main bronchus stenosis/malacia.

Findings:

  • Dynamic bronchography revealed a tracheal bronchus (TB) associated with tracheal stenosis and malacia.
  • This case suggests TB may be an additional tracheal anomaly in VACTERL association.

Related Experiment Videos

  • Bronchoscopy alone may miss ectopic bronchial formations.

    • Implications:

    • Tracheal bronchus may be an underrecognized component of VACTERL association.
    • Dynamic bronchography is crucial for diagnosing complex tracheobronchial anomalies.
    • Early diagnosis and management of these anomalies can improve patient outcomes.