1. Successful Treatment of Bronchial Obstruction After Lobectomy in a Patient With Scoliosis
- Author
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Koki Maeda, Toshiyuki Nagata, Aya Harada Takeda, Yasuhiro Tokuda, Masaya Aoki, Tadashi Umehara, Go Kamimura, Shoichiro Morizono, Masami Sato, Kazuhiro Ueda, and Kota Kariatsumari
- Subjects
Pulmonary and Respiratory Medicine ,medicine.medical_specialty ,Respiratory complications ,Scoliosis ,030204 cardiovascular system & hematology ,Chest wall deformity ,03 medical and health sciences ,Postoperative Complications ,0302 clinical medicine ,medicine ,Humans ,Pneumonectomy ,Bronchial obstruction ,Inferior pulmonary vein ,Natural course ,business.industry ,Remission Induction ,Bronchial Diseases ,Middle Aged ,medicine.disease ,Surgery ,Airway Obstruction ,Dissection ,medicine.anatomical_structure ,030228 respiratory system ,Thoracic vertebrae ,Female ,Cardiology and Cardiovascular Medicine ,business - Abstract
Scoliosis can cause various respiratory complications, even in the natural course, because of rearrangement of the intrathoracic anatomy owing to chest wall deformity. We experienced a patient with scoliosis who developed acute respiratory failure owing to bronchial obstruction induced by bronchial compression by the dorsal thoracic vertebra after right upper lobectomy for cancer. The symptom resolved after mobilization of the ipsilateral lower lobe, which was achieved by releasing the inferior pulmonary vein by U-shaped pericardial dissection with division of the pulmonary ligament. When planning lobectomy for patients with severe scoliosis, the anatomic changes caused by pulmonary resection must be considered.
- Published
- 2020
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