A case of concomitant branching anomalies of the tracheobronchial tree in a female patient with COVID-19
- Authors: Shteiner M.L.1,2, Biktagirov Y.I.2,3, Korymasov E.A.2, Krivoshchekov E.P.2, Zhestkov A.V.2, Makova A.V.1,4
-
Affiliations:
- Samara City Hospital Four
- Samara State Medical University, Ministry of Health of Russia
- V.D. Seredavin Samara Regional Clinical Hospital
- “Reaviz” Medical University
- Issue: Vol 34, No 7 (2023)
- Pages: 68-69
- Section: From Practice
- URL: https://journals.eco-vector.com/0236-3054/article/view/568041
- DOI: https://doi.org/10.29296/25877305-2023-07-15
- ID: 568041
Cite item
Abstract
A female patient with the novel coronavirus infection COVID-19 underwent a therapeutic and diagnostic bronchoscopy for an increasing non-resolving obstruction of the lower respiratory tract with bronchial secretions, which revealed tracheobronchial tree branching anomalies: the displaced tracheal bronchus (the proximal transposition of the right upper lobe bronchus, the accessory segmental bronchus of the middle lobe of the left lung, and the left accessory cardiac bronchus). The case is interesting since these anatomical anomalies were asymptomatic, the clinical presentations were due to the underlying disease.
Full Text
![Restricted Access](https://journals.eco-vector.com/lib/pkp/templates/images/icons/text_lock.png)
About the authors
M. L. Shteiner
Samara City Hospital Four; Samara State Medical University, Ministry of Health of Russia
Author for correspondence.
Email: iishte@yandex.ru
ORCID iD: 0000-0001-5848-6718
Doctor of Medical Sciences, Associate Professor
Russian Federation, Samara; SamaraYu. I. Biktagirov
Samara State Medical University, Ministry of Health of Russia; V.D. Seredavin Samara Regional Clinical Hospital
Email: iishte@yandex.ru
ORCID iD: 0000-0002-3949-2714
Candidate of Medical Sciences
Russian Federation, Samara; SamaraE. A. Korymasov
Samara State Medical University, Ministry of Health of Russia
Email: iishte@yandex.ru
ORCID iD: 0000-0001-9732-5212
Doctor of Medical Sciences, Professor
Russian Federation, SamaraE. P. Krivoshchekov
Samara State Medical University, Ministry of Health of Russia
Email: iishte@yandex.ru
ORCID iD: 0000-0003-4530-7527
Doctor of Medical Sciences
Russian Federation, SamaraA. V. Zhestkov
Samara State Medical University, Ministry of Health of Russia
Email: iishte@yandex.ru
ORCID iD: 0000-0002-3960-830X
Doctor of Medical Sciences, Professor
Russian Federation, SamaraA. V. Makova
Samara City Hospital Four; “Reaviz” Medical University
Email: iishte@yandex.ru
ORCID iD: 0000-0002-7600-4978
Candidate of Medical Sciences
Russian Federation, Samara; SamaraReferences
- Королев Б.А., Шахов Б.Е., Павлунин А.В. Аномалии и пороки развития легких. Нижний Новгород: Издательство НГМА, 2000; 302 [Korolev B.A., Shakhov B.E., Pavlunin A.V. Anomalii i poroki razvitiya lyogkikh. Nizhnii Novgorod: Izdatelstvo NGMA, 2000; 302. (in Russ.)].
- Abakay A., Tanrikulu A.C., Sen H.S. et al. Clinical and demographic characteristics of tracheobronchial variations. Lung India. 2013; 28 (3): 180–3. doi: 10.4103/0970-2113.83973
- Штейнер М.Л. Выявляемость анатомических аномалий трахеобронхиального дерева у пациентов с распространенной легочной патологией (хроническая обструктивная болезнь легких, бронхиальная астма, внебольничная пневмония) при проведении бронхоскопии. Известия высших учебных заведений. Поволжский регион. Медицинские науки. 2015; 2 (34): 28–38 [Shteyner M.L. Bronchoscopy based detection of anatomical anomalies of the tracheobronchial tree in patients with common pulmonary pathology (chronic obstructive pulmonary disease, asthma, community-acquired pneumonia. University proceedings. Volga region. Medical sciences. 2015; 2 (34): 28–38 (in Russ.)].
- Рязанов В.В., Куценко В.П., Садыкова Г.К. и др. Особенности проведения компьютерной томографии в диагностике COVID-19. Врач. 2022; 33 (4): 53–5 [Ryazanov V., Kutsenko V., Sadykova S. et al. Features of computed tomography in diagnostics COVID-19. Vrach. 2022; 33 (4): 53–5 (in Russ.)] doi: 10.29296/25877305-2022-04-07
- Doolittle A.M., Mair E.A. Tracheal bronchus: classification, endoscopic analysis, and airway management. Otolaryngol Head Neck Surg. 2002; 126 (3): 240–3. doi: 10.1067/mhn.2002.122703
- Yildiz H., Ugurel S., Soylu K. et al. Accessory cardiac bronchus and tracheal bronchus anomalies: CT-bronchoscopy and CT-bronchography findings. Surg Radiol Anat. 2006; 28 (6): 646–9. doi: 10.1007/s00276-006-0147-3
- Аверьянов А.В., Кемеж Ю.В. Добавочный трахеальный бронх. REJR. 2013; 3 (3): 62–6 [Averyanov A.V., Kemezh Yu.V. Tracheal bronchus. REJR. 2013; 3 (3): 62–5 (in Russ.)].
- Mital H., Gerber A., Bailey M. et al. Prevalence of Tracheal Bronchus in Pediatric Patients Undergoing Rigid Bronchoscopy. J Bronchology Interv Pulmonol. 2014; 21 (1): 26–31. DOI: 10.1097 /LBR.0000000000000029
- Rahalkar M.D., Lakhkar D.L., Joshi S.W., et al. Tracheal diverticula – report of 2 cases. Indian J Radiol Imag. 2004; 14: 197–8.
- Wooten C., Patel S., Cassidy L. et al. Variations of the tracheobronchial tree: anatomical and clinical significance. Clin Anat. 2014; 27 (8): 1223–33. doi: 10.1002/ca.22351
- Wong D.T., Kumar A. Case report: Endotracheal tube malposition in a patient with a tracheal bronchus. Can J Anaesth. 2006; 53 (8): 810–3. doi: 10.1007/BF03022798
- Преловский А.В., Жуков Д.В., Недашковский Э.В. и др. Добавочный трахеальный бронх, как осложнение анестезии. Вестник анестезиологии и реаниматологии. 2009; 6 (5): 30–2 [Prelovskyi A.V., Zhukov D.V., Nedashkovskyi E.V. al. Dobavochnyi trahealnyi bronkh, kak oslozhnenie anestezii. Messenger of Anesthesiology and Resuscitation. 2009; 6 (5): 30–2 (in Russ.)].
Supplementary files
![](/img/style/loading.gif)