Nakesha King, MD, MS, Shilpa S

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Presentation transcript:

Near Complete Obliteration of the Left Hemithorax by Congenital Lobar Emphysema in an Adult Nakesha King, MD, MS, Shilpa S. Ramesh, MD, Michael Essandoh, MD, Robert E. Merritt, MD The Annals of Thoracic Surgery Volume 104, Issue 5, Pages e367-e369 (November 2017) DOI: 10.1016/j.athoracsur.2017.06.068 Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Preoperative imaging. (A) Initial chest radiograph demonstrated a large pneumothorax (*) with extensive left hemithoracic bullous disease (**). (B–E) Axial computed tomography of the chest progressing caudally show large bullae occupying almost the entire hemithorax with atelectatic lung compressed medially. The chest tube (arrow) courses toward the apex between remnant lung and adjacent bullae. The Annals of Thoracic Surgery 2017 104, e367-e369DOI: (10.1016/j.athoracsur.2017.06.068) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Intraoperative images. (A) Hemosiderin deposits (thin arrows), a sign of chronicity, infiltrating the hypoplastic anterior basilar segment of the lower lobe (*) overlying healthy lung parenchyma (**). (B) The affected segment was resected and (C) the gross specimen with emphysematous changes (thick arrow) was extracted. The Annals of Thoracic Surgery 2017 104, e367-e369DOI: (10.1016/j.athoracsur.2017.06.068) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Postoperative chest radiography demonstrates full expansion of healthy lung as well as pleural thickening of the left lateral base, a result of the surgical intervention. The Annals of Thoracic Surgery 2017 104, e367-e369DOI: (10.1016/j.athoracsur.2017.06.068) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions