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Bronchus cardiacus accessorius dexter

P Barzó1, B Nagy

  • 1Third Department of Pulmonology St. Ferenc Hospital Miskolc H-3501 Hungary.

Diagnostic and Therapeutic Endoscopy
|May 22, 2008
PubMed

Insights

Bronchus cardiacus accessorius dexter (BCAD), a rare bronchial anomaly, was found in 25 of 30,000 patients. While often asymptomatic, BCAD can cause significant hemorrhage and is associated with other developmental anomalies.

Area of Science:

  • Medical Science
  • Anatomy
  • Pulmonology

Background:

  • Bronchus cardiacus accessorius dexter (BCAD) is a rare congenital bronchial anomaly.
  • Its clinical significance and associations are not well-established in the literature.

Purpose of the Study:

  • To report the incidence of BCAD in a large patient cohort.
  • To describe clinical presentations and associated anomalies of BCAD.
  • To review existing literature on BCAD and its implications.

Main Methods:

  • Retrospective analysis of bronchoscopic investigations in 30,000 adult patients.
  • Detailed case reporting of complex BCAD presentations.
  • Literature review on BCAD and associated developmental anomalies.

Main Results:

  • BCAD diagnosed in 25 out of 30,000 patients (0.083%).
  • One case presented with significant hemorrhage; another with multiple congenital anomalies.
  • Associated anomalies included tracheobronchomegaly, mitral valve prolapse, and pectus excavatum.

Conclusions:

  • BCAD is a rare anomaly, but its recognition is crucial for diagnosing persistent bronchopulmonary symptoms.
  • Associated vascular anomalies require careful evaluation for surgical planning.
  • Further research is needed to understand the full spectrum and management of BCAD.

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