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Congenital Bronchial Atresia in Infants and Children: Experience from a Tertiary Care Center in Western India
Somya Bhatt1, Shubhalaxmi Nayak1, Rahul Saxena1
1Department of Pediatric Surgery, AIIMS, Jodhpur, Rajasthan, India.
Insights
Congenital bronchial atresia (CBA) is a rare lung defect. Surgical resection is an effective treatment for children with CBA, leading to asymptomatic outcomes post-procedure.
Area of Science:
- Pediatric Surgery
- Thoracic Surgery
- Developmental Biology
Background:
- Congenital bronchial atresia (CBA) is a rare congenital anomaly.
- It presents as focal bronchial interruption with distal mucus impaction and hyperinflation.
Abstract:
Congenital bronchial atresia (CBA) is a rare developmental anomaly characterized by focal bronchial interruption with distal mucus impaction and hyperinflation; in this retrospective review conducted between 2022 and 2024, five patients with CBA were managed (median age 11 months). The left upper lobe was involved in 80% of cases, with one patient having multilobar disease. All underwent surgical resection (three thoracoscopic, one robotic, and one open), and postoperative complications included prolonged air leak, chylothorax, and pneumonia in one patient each. All children were asymptomatic at a median follow-up of 8 months, supporting timely surgical management as an effective approach, particularly in symptomatic or diagnostically uncertain cases.
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