Left main bronchus obstruction after patent ductus arteriosus ligation: an unusual complication

L L Harris; R Krishnamurthy; L P Browne; D L S Morales; E M Friedman

doi:10.1016/j.ijporl.2012.09.002

Left main bronchus obstruction after patent ductus arteriosus ligation: an unusual complication

Int J Pediatr Otorhinolaryngol. 2012 Dec;76(12):1855-6. doi: 10.1016/j.ijporl.2012.09.002. Epub 2012 Sep 25.

Authors

L L Harris¹, R Krishnamurthy, L P Browne, D L S Morales, E M Friedman

Affiliation

¹ Section of Neonatology, Department of Pediatrics, Texas Children's Hospital, Baylor College of Medicine, Houston, TX, United States. leslieh@bcm.edu

PMID: 23021466
DOI: 10.1016/j.ijporl.2012.09.002

Abstract

This report discusses a premature complex newborn with persistent pulmonary difficulties following the clipping of the PDA. Bronchoscopy was critical in revealing a metallic clip obstructing the bronchus. Thoracothomy revealed that the clip had been placed across the bronchus. This case illustrates the importance of bronchoscopy in the face of persistent unexplained pulmonary symptoms as well as having clear intraoperative exposure of the anatomy in this region to assure accurate placement of PDA metallic clips.

Publication types

Case Reports

MeSH terms

Adult
Airway Obstruction / diagnostic imaging
Airway Obstruction / surgery
Angiography / methods
Bronchi / injuries*
Bronchoscopy / methods
Cesarean Section
Ductus Arteriosus, Patent / diagnostic imaging
Ductus Arteriosus, Patent / surgery*
Endoscopy / adverse effects
Endoscopy / methods
Female
Follow-Up Studies
Humans
Infant, Newborn
Infant, Premature*
Ligation / adverse effects*
Ligation / instrumentation
Postoperative Complications / diagnostic imaging
Postoperative Complications / surgery
Pregnancy
Pregnancy, Multiple
Reoperation / methods
Risk Assessment
Surgical Instruments / adverse effects*
Treatment Outcome
Triplets
Vocal Cord Paralysis / diagnostic imaging
Vocal Cord Paralysis / etiology*
Vocal Cord Paralysis / therapy