A case of an extremely low birth weight infant with left lung atelectasis resulting from obstruction of the left main bronchus PDA closure

Abstract

 This is a case report of a female baby born at 24 weeks and 6 days of gestation, with a birth body weight of 669 grams. On her fifth day of life (DOL), she received a ductus arteriosus clipping surgery. After surgery she suffered from complete left lung atelectasis, which was recovered using airway pressure release ventilation. Bronchoscopic findings to estimate airway patency was done on DOL 64 and revealed obstruction of left main bronchus by an extra-bronchial mass. A chest CT showed the PDA's clip located adjacent to the left main bronchus and was suspected to be causing it's kinking. She was extubated on DOL 65 to nasal CPAP (N-CPAP), and weaned off to high flow nasal canula (HFNC) from DOL 77. Her breathing was stable and she had no recurrence of atelectasis. On DOL 98 she switched to nasal canula oxygen and was discharged to home on DOL 141 and placed on home oxygen therapy (HOT).