Hayes Don, Mansour Heidi M
The Ohio State University College of Medicine, Columbus, OH 43205, USA.
Pediatr Transplant. 2012 Dec;16(8):E333-7. doi: 10.1111/j.1399-3046.2012.01682.x. Epub 2012 Apr 11.
Airway complications occur frequently after lung transplantation. Bronchial stenosis is the most frequently encountered complication with the most severe form of that being the vanishing bronchus intermedius syndrome (VBIS). This rare disorder has never been reported in the pediatric population. This is the first report of VBIS in a pediatric patient, specifically a 16-yr-old male patient with cystic fibrosis whose course was complicated by a lower airway infection with Aspergillus fumigatus. The VBIS responded to bronchoscopic balloon dilation and placement of an airway stent.
肺移植后气道并发症很常见。支气管狭窄是最常遇到的并发症,其最严重的形式是中间支气管消失综合征(VBIS)。这种罕见的疾病在儿科人群中从未有过报道。这是第一例儿科患者发生VBIS的报告,具体是一名16岁患有囊性纤维化的男性患者,其病程因烟曲霉下呼吸道感染而复杂化。VBIS对支气管镜球囊扩张和气道支架置入有反应。