Infantile lobar emphysema and tracheal bronchus in a patient with congenital heart disease

Abstract

A 7-month-old girl was admitted with severe respiratory distress. Chest roentgenogram showed hyperinflation of the right middle lobe and mediastinal shift. Bronchogram showed tracheal lobe displaced superiorly by the hyper-inflated right middle lobe. Echocardiography showed left-to-right shunt at the ventricular level. The patient responded well after surgical correction of cardiac defect. Four years after the operation, computed tomography examinations showed no evidence of emphysema. Copyright (C) 2001 by W.B. Saunders Company.