The Journal of Thoracic and Cardiovascular Surgery, Vol 74, 126-129, Copyright © 1977 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
Congenital lobar emphysema resulting from bronchial sling around a normal right main pulmonary artery
TG Canty
A 5-month-old female infant was transferred to our institution for
evaluation of recurrent upper respiratory tract symptoms and chest x- ray
films showing hyperaeration of the right upper lobe. Preoperative studies
including chest fluoroscopy, lung scan, and bronchoscopy suggested
congenital lobar emphysema. At thoracotomy, an anomalous right upper lobe
bronchus which bifurcated around the main pulmonary artery in a sling
fashion was found. This anatomic abnormality has not been described
previously and is a unique cause of congenital lobar emphysema.