Clinical, physiologic, and roentgenographic changes after pneumonectomy in a boy with Macleod/Swyer-James syndrome and bronchiectasis.

Abstract

Macleod/Swyer-James syndrome is an uncommon and complex disease characterized by roentgenographic hyperlucency of one lung or lobe due to loss of the pulmonary vascular structure and to alveolar overdistension. This syndrome seems to be an acquired disease that follows viral bronchiolitis and pneumonitis in childhood. It must be differentiated from many other causes of unilateral lung "transradiancy" on the chest roentgenogram, such as those related to congenital bronchial and/or vascular abnormalities. We here describe an 11-year-old patient with Macleod/Swyer-James syndrome and bronchiectasis resulting in severe recurrent bronchopulmonary infections. Despite the severe impairment of pulmonary function, the patient underwent resection of the right lung with progressive improvement of clinical and physiologic parameters.

• Authors: Laura Fregonese, Donata Girosi, Elena Battistini, Bruno Fregonese, Francesco M Risso, Giovanni L Bava, Giovanni A Rossi
• Journal: Pediatric pulmonology (Pediatr Pulmonol) Vol. 34 Issue 5 Pg. 412-6 (Nov 2002) ISSN: 8755-6863 [Print] United States
• PMID: 12357493 (Publication Type: Case Reports, Journal Article, Research Support, Non-U.S. Gov't)
• Copyright: Copyright 2002 Wiley-Liss, Inc.

Topics

• Bronchiectasis (complications, surgery)
• Bronchiolitis Obliterans (etiology, surgery)
• Child
• Humans
• Lung (diagnostic imaging, physiopathology, surgery)
• Lung, Hyperlucent (complications, surgery)
• Male
• Pneumonectomy
• Pulmonary Ventilation
• Radiography