Lung aplasia (left)

Case contributed by Dr Hidayatullah Hamidi

Presentation

Persistent cough since birth

Patient Data

Age: 2 years
Gender: Male
CT

Complete absence of left lung with a small rudimentary blind-ended left main bronchus.

The left pulmonary artery and veins are not seen.

The trachea is normal with a normal right main bronchus.

Compensatory hyperinflation of right lung herniating toward the left hemithorax.

Heart is located in the left hemithorax in close proximity to the left posterolateral chest wall.

Superior and inferior vena cava are draining normally to the right atrium and subsequently to the right ventricle.

The pulmonary trunk is originating from the right ventricle

Right pulmonary veins are draining to the left atrium and subsequently to the left ventricle.

Case Discussion

The features are diagnostic of left lung agenesis type II (aplasia).

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Case information

rID: 90959
Published: 6th Jul 2021
Last edited: 8th Jul 2021
Inclusion in quiz mode: Included

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