Korean J Thorac Cardiovasc Surg.
2007 Nov;40(11):793-797.
A Communicating Bronchopulmonary Foregut Malformation Associated with Absence of the Left Pericardium: A case report
- Affiliations
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- 1Department of Thoracic & Cardiovascular Surgery, Gangneung Asan Hospital, University of Ulsan College of Medicine. jokim@ghah.co.kr
- 2Department of Thoracic and Cardiovascular Surgery, Asan Medical Centerl, University of Ulsan College of Medicine.
- 3Department of Diagnostic Radiology, Gangneung Asan Hospital, University of Ulsan College of Medicine.
Abstract
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A communicating bronchopulmonary foregut malformation (CBPFM) is a rare congenital anomaly that is characterized by a fistula between isolated respiratory tissue and the esophagus or stomach. The presence of accessory lung tissue arising from the primitive gastrointestinal tube is a common factor in the development of all forms of bronchopulmonary foregut malformations. Recurrent pneumonia associated with cystic radiographic structures is a characteristic of the condition. Further imaging studies using esophagogram, bronchography, computerized tomography, MRI, and arteriography can help in making a diagnostic evaluation. The treatment is a surgical resection of the involved lung tissue, and fistula closure with a good prognosis. We encountered a case of CBPFM, who presented with an extralobar pulmonary sequestration and bronchogenic cyst communicating with a tubular esophageal duplication that was associated with a complete left pericardial defect.