Abstract
A 36-year-old female patient developed atelectasis of the right middle and lower lobes for a period of 8 months due to tracheo-barondhial tuberculosis. Resection of the stenotic right main bronchus and truncus intermedius and anastomosis of right upper bronchus and truncus intermedius to the orifice of the right main bronchus were done without lung resection.
We examined pre- and postoperative repiratory function. At 3 months after operation the vital capacity, FEV1.0 and BGA (room air) showed slight improvement in spite of the restrictive effect of thoracotomy. The ventilation and perfusion lung scan revealed the apparent improvement of ventilation, perfusion and wash-out of the lower field of the right lung. However, the improvement of perfusion was delayed compared with that of ventilation.
