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Bronchial atresia

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Bronchial atresia is a disorder in which a segmental bronchus fails to connect with or communicate with the more central airways. [1] [2] [3] [4] [5]

References

  1. Cohen AM, Solomon EH, Alfidi RJ. Computed tomography in bronchial atresia. American Journal of Roentgenology, 1980;135:1097-99.
  2. Rappaport DC, Herman SJ, Weisbrod GL. Congenital bronchopulmonary diseases in adults: CT findings. American Journal of Roetgenology, 1994;162: 1295-99.
  3. Kinsella D, Sissons G, Williams MP. The radiological imaging of bronchial atresia.British Journal of Radiology 1992;65:681-85.
  4. Shady K, Siegel MJ, Glazer HS. CT of focal pulmonary masses in childhood. Radiographics, 1992;12:505-514.
  5. Kuhn C, Kuhn JP. Coexistence of bronchial atresia and bronchogenic cyst: Diagnostic criteria and embryologic considerations. Pediatric Radiology 1992;22:568-70.


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Historical Perspective

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References

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Pathophysiology

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Bronchial atresia occurs when the segmental bronchus fails to connect with or communicate with the more central airways. The underlying pathophysiology is unclear and contested amongst researchers.

Pathophysiology

The underlying basis of the disorder is not clear. It has been hypothesized to be the result of a vascular injury to the lung at approximately 15 to 16 weeks gestation. An alternate hypothesis is that the disorder occurs secondary to separation of the bronchial bud during the 5th to 6th week of gestation. Pulmonary sequestration and bronchogenic cysts also form during this early period of fetal development and may share an underlying pahtophysiology.

The most common anatomic locations include the following:

  1. The apical posterior segment of the left upper lobe
  2. The left lower lobe
  3. The right middle lobe

References


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Causes

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References

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Differentiating Bronchial atresia from other Diseases

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References

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Epidemiology and Demographics

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Epidemiology and Demographics

Gender

Females outnumber males 2:1.

References

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Risk Factors

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References


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Natural History, Complications and Prognosis

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References

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Diagnosis

Diagnosis

History and Symptoms | Physical Examination | Laboratory Findings | Chest X Ray | CT | MRI | Ultrasound | Other Imaging Findings | Other Diagnostic Studies

Treatment

Treatment

Medical Therapy | Surgery | Primary Prevention | Secondary Prevention | Cost-Effectiveness of Therapy | Future or Investigational Therapies

Case Studies

Case Studies

Case#1


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