Rakotoarison N-R-C, Bordes M, Batoz H, Pontailler J-R, Nouette-Gaulain K
Service d'anesthésie-réanimation III, hôpital des enfants, CHU de Bordeaux, place Amélie-Raba-Léon, 33076 Bordeaux cedex, France.
Ann Fr Anesth Reanim. 2011 Jan;30(1):73-6. doi: 10.1016/j.annfar.2010.11.001. Epub 2010 Dec 28.
We report the case of an unexpected respiratory complication after a surgical treatment of scoliosis during postoperative period in an adolescent patient. This complication results of a vascular compression of the left main bronchus between the aorta and the pulmonary artery, which induces severe atelectasis of left lower lobe. Prolonged non-invasive ventilation with high level of positive end-expiratory pressure prevents aorto-pulmonary compression, allows a pulmonary recruitment associated with a favorable prognostic for the adolescent.