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J Thorac Cardiovasc Surg 2008;135:449-450
© 2008 The American Association for Thoracic Surgery

Brief Communication

A lung granuloma with partial anomalous pulmonary venous connection and bronchial atresia

K. Sumida*, T. Kohno, MD, M. Mun, MD, A. Hamamoto, MD, T. Yoshiya, MD, T. Takahashi, MD

Department of Thoracic Surgery, Toranomon Hospital, Tokyo, Japan

Received for publication April 23, 2007; revisions received July 22, 2007; accepted for publication August 14, 2007.

* Address for reprints: Keiichi Sumida, Department of Thoracic Surgery, Respiratory Center, Toranomon Hospital, 2-2-2, Toranomon, Minato-ku, Tokyo, Japan. (Email: k_sumida0504@yahoo.co.jp).

The first 20% of the full text of this article appears below.

Partial anomalous pulmonary venous connection (PAPVC) is an uncommon congenital anomaly that is physiologically unimportant in most asymptomatic patients. However, PAPVC can be problematic after major lung resection because of right ventricular failure owing to right ventricular volume overload caused by the left-to-right physiologic shunt.1Go Bronchial atresia is also a rare congenital anomaly that may be found incidentally on chest radiographs in asymptomatic older children or adults. Patients with bronchial atresia may have fever, cough, or shortness of breath owing to postobstructive infections that may be recurrent.2Go Herein we describe the case of a patient with lung granuloma suspected to be a pulmonary sequestration who was incidentally found to have PAPVC and bronchial atresia.

Clinical Summary

A 44-year-old woman visited her general practitioner because of a dry cough persisting for 2 months. Chest computed tomography (CT) showed a pulmonary tumor 7 cm in diameter in the left lower lobe. A bronchoscopic examination showed no abnormalities except for the lack of an entrance to the superior branch of the left lower lobe (B6). She was subsequently referred to our hospital for further examination. Contrast-enhanced chest CT showed a radiolucent area in the superior segment of . . . [Full Text of this Article]






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