Surgery for Severe Bronchiectasis 13 Years After Neonatal Extracorporeal Membrane Oxygenation for Meconium Aspiration Syndrome : A Case Report

DOI Web Site 7 References
  • Hisamatsu Chieko
    Department of Pediatric Surgery, Takatsuki General Hospital:Division of Pediatric Surgery, Kobe University Graduate School of Medicine
  • Yamamoto Tetsuo
    Department of Pediatric Surgery, Takatsuki General Hospital
  • Hatakeyama Tadashi
    Department of Pediatric Surgery, Takatsuki General Hospital
  • Bitoh Yuko
    Department of Pediatric Surgery, Takatsuki General Hospital
  • Lee Yokei
    Department of Pediatrics, Takatsuki General Hospital
  • Iwai Yasuhiro
    Department of Pathology, Takatsuki General Hosptial

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Other Title
  • 新生児期MASに対してECMOを施行し,13年後に右中下葉切除を行った気管支拡張症の1例
  • 症例報告 新生児期MASに対してECMOを施行し,13年後に右中下葉切除を行った気管支拡張症の1例
  • ショウレイ ホウコク シンセイジキ MAS ニ タイシテ ECMO オ シコウシ 13ネンゴ ニ ウチュウ カヨウ セツジョ オ オコナッタ キカンシ カクチョウショウ ノ 1レイ

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Abstract

We report a case of severe bronchiectasis in a 13-year-old boy. He had been treated with extracorporeal membrane oxygenation (ECMO) for persistent pulmonary hypertension of newborn (PPHN), caused by meconium aspiration syndrome (MAS) as a neonate. After discontinuation of ECMO, a respiratory disorder due to methicillin resistant Staphylococcus aureus (MRSA) pneumonia and PPHN continued for a while. In his childhood, he grew normally but suffered from a cough. He was diagnosed with bronchiectasis of the right lower and middle lobes at the age of 8. Also, he concurrently had chronic sinusitis. His condition got worse gradually, and hemosputum and respiratory distress with exercise appeared at age 13. Conservative treatment was not effective. Accordingly, bilobectomy was performed. His symptoms improved postoperatively. This case is extremely rare because bronchiectasis developed after a respiratory disorder due to MRSA pneumonia and PPHN after neonatal ECMO for MAS.

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