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.2022 Dec 1;1(1):13.
doi: 10.1186/s44215-022-00009-y.

A case of bronchial atresia treated with right S6 segmentectomy using fluorescence navigation with indocyanine green

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A case of bronchial atresia treated with right S6 segmentectomy using fluorescence navigation with indocyanine green

Mototsugu Watanabe et al. Gen Thorac Cardiovasc Surg Cases..

Abstract

Background: Bronchial atresia is a congenital obstruction of the segmental or lobar bronchus that often leads to hyperinflation of the affected area. It can cause intractable infections and abnormal nodules in these regions and surgical resection needs to be considered. The precise resection of the abnormal pulmonary segment is crucial for diagnosis and treatment.

Case presentation: A 24-year-old male patient was incidentally diagnosed with an abnormal lung shadow, which was confirmed to be bronchial atresia with computerized tomography imaging and bronchofiberscopy. Segmentectomy using fluorescence navigation with indocyanine green dye was performed. The patient had no trouble in his clinical course, indicating that this procedure may be useful in the resection of congenital bronchial atresia regions.

Conclusion: Segmentectomy using indocyanine green is an appropriate technique for minimal resection without respiratory impairment and diagnostic therapy of bronchial atresia.

Keywords: Bronchial atresia; Indocyanine green (ICG); Segmentectomy; Video-assisted thoracoscopic surgery (VATS).

© 2022. The Author(s).

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
A Initial chest radiograph showed an abnormal shadow in the right lower lung field.B,C Chest CT scan revealed an abnormal mass with an emphysematous change. Arrows show the emphysematous region.D Obstruction of the bronchi was found by bronchofiberscopy
Fig. 2
Fig. 2
A Thoracoscopic view at the beginning of the operation.B Fluorescence navigation with ICG clearly showed the intersegmental plane.C The pathological report showed a granuloma without any malignant cells (magnification ×100)
See this image and copyright information in PMC

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