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A child with congenital atresia of the apical posterior bronchus was followed from birth. The obstructed segment, ventilated through collateral pathways, was documented to be aerated by day 6. At 10 yr of age, the anomalous and adjacent normal segments were resected because of respiratory symptoms. Preoperatively, pulmonary function studies showed a mild obstructive ventilatory defect. Postoperatively, although asymptomatic, the patient's obstruction persisted. Collateral resistance (Rcoll) measured between the atretic and adjacent normal segments of the resected lung was comparable to Rcoll in young adults, but markedly greater than Rcoll for emphysematous lungs. Pathologic examination revealed gross emphysematous changes in the anomalous segment. We conclude that collateral pathways exist early in life and that ventilation of lung distal to congenitally absent airways is slow and may contribute to the development of emphysema; we speculate that this lesion should be resected early in life to permit optimal growth and development of the remaining lung.
J L Robotham, and
H A Menkes, and
B E Chipps, and
C R Inners, and
P Alderson, and
G M Hutchins, and
J J Tepas, and
A Haller
January 1978,
Archives francaises de pediatrie,
J L Robotham, and
H A Menkes, and
B E Chipps, and
C R Inners, and
P Alderson, and
G M Hutchins, and
J J Tepas, and
A Haller
November 1990,
Journal belge de radiologie,
J L Robotham, and
H A Menkes, and
B E Chipps, and
C R Inners, and
P Alderson, and
G M Hutchins, and
J J Tepas, and
A Haller
January 1987,
La Tunisie medicale,
J L Robotham, and
H A Menkes, and
B E Chipps, and
C R Inners, and
P Alderson, and
G M Hutchins, and
J J Tepas, and
A Haller
January 1971,
Thorax,
J L Robotham, and
H A Menkes, and
B E Chipps, and
C R Inners, and
P Alderson, and
G M Hutchins, and
J J Tepas, and
A Haller
April 1974,
Schweizerische medizinische Wochenschrift,
J L Robotham, and
H A Menkes, and
B E Chipps, and
C R Inners, and
P Alderson, and
G M Hutchins, and
J J Tepas, and
A Haller
February 1999,
European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift fur Kinderchirurgie,
J L Robotham, and
H A Menkes, and
B E Chipps, and
C R Inners, and
P Alderson, and
G M Hutchins, and
J J Tepas, and
A Haller
April 1987,
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J L Robotham, and
H A Menkes, and
B E Chipps, and
C R Inners, and
P Alderson, and
G M Hutchins, and
J J Tepas, and
A Haller
March 1972,
The Journal of thoracic and cardiovascular surgery,
J L Robotham, and
H A Menkes, and
B E Chipps, and
C R Inners, and
P Alderson, and
G M Hutchins, and
J J Tepas, and
A Haller
September 2017,
Archivos de bronconeumologia,
J L Robotham, and
H A Menkes, and
B E Chipps, and
C R Inners, and
P Alderson, and
G M Hutchins, and
J J Tepas, and
A Haller
June 2001,
Surgical laparoscopy, endoscopy & percutaneous techniques,
