A Case of Right Pulmonary Agenesis, Left Horseshoe Lung, and Esophageal Atresia With Tracheoesophageal Fistula

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  • C型食道閉鎖症を合併した右肺無形成,左馬蹄肺の1例
  • 症例報告 C型食道閉鎖症を合併した右肺無形成,左馬蹄肺の1例
  • ショウレイ ホウコク Cガタ ショクドウ ヘイサショウ オ ガッペイ シタ ミギ ハイ ムケイセイ,ヒダリ バテイ ハイ ノ 1レイ

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Abstract

We report a case of right pulmonary agenesis, left horseshoe lung, and esophageal atresia with tracheoesopahageal fistula (TEF). A 2,070 g male infant was born at 34 weeks of gestation by cesarean section due to non-reassuring fetal status. Esophageal atresia, right pulmonary malformation, and unilateral radial defect had been detected by fetal ultrasonography. After birth, esophageal atresia with TEF and right pulmonary malformation was suspected by X-ray. No congenital cardiac anomaly was detected by ultrasonography. Gastrostomy was performed on day 0. The right main bronchus was not detected by bronchofiberscopy and 3D computed tomography revealed a small lung in the right thoracic cavity. During esophago-esophagostomy and TEF division on day 8, neither the right lung nor right pulmonary vessels were detected. Therefore, diagnosis of right pulmonary agenesis, left horseshoe lung, and esophageal atresia with TEF was attempted. The clinical course was uneventful after the definitive operation. The endotracheal tube was extubated 14 days after the operation and the patient was discharged from the hospital on day 66 of his life. He has been well without any respiratory symptoms for 7 months after discharge.

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