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Volume 4
Journal of Pediatric Care
ISSN: 2471-805X
Page 59
JOINT EVENT
May 07-08, 2018 Frankfurt, Germany
&
3
rd
International Conference on
Pediatrics and Pediatric Surgery
22
nd
Edition of International Conference on
Neonatology and Perinatology
Prenatal and postnatal management of congenital bronchial atresia (CBA): Single tertiary center report
Bo Xia
Guangdong Women and Children Hospital, China
Purpose:
To summarize our diagnosis and management experience of congenital bronchial atresia (CBA).
Methods:
A retrospective review was conducted and clinical data were collected of all patients with CBA.
Results:
Among the 9 patients (5 males and 4 females), 6 cases with right side and 3 cases with left side, including 1 patient
with mainstem bronchial atresia (MBA), 2 cases with lobar bronchial atresia (LBA), 6 cases with segmental bronchial atresia
(SBA). Eight were diagnosed as congenital cystic adenomatoid malformation (CCAM) type
Ⅲ
by ultrasound (US) in prenatal.
The MBA patient was diagnosed by CT and bronchofibroscopy, only 2 patients by pathological findings and the other 6 patients
by CT. Five cases were accompanied by CCAM, 1 case with bronchopulmonary sequestration (BPS), 2 cases with emphysema.
Eight cases except MBA were underwent thoracoscopic surgery treatment, and had favorable prognosis. Two cases with LBA
merged with complication of pectus excavatum after surgery. One case with MBA had no surgery, and died 13 days old.
Conclusions:
CBA is an easily misdiagnosed disease from pathologic conditions. Definitive diagnosis of this condition
depends on combination CT or clinical pathologic diagnosis. Thoracoscopic resection is a safe and feasible treatment of CBA
in experienced hands.
124684744@qq.comJ Pediatr Care, Volume 4
DOI: 10.21767/2471-805X-C2-009