Elsevier

Diseases of the Chest

Volume 52, Issue 5, November 1967, Pages 611-615
Diseases of the Chest

Major Anomalies of the Tracheobronchial Tree: With a List of the Minor Anomalies

https://doi.org/10.1378/chest.52.5.611Get rights and content

In a study of 1200 consecutive, complete, and bilateral bronchograms, 27 major anomalies were found in 24 patients. There was a disproportion of three abnormalities on the left to 24 on the right. In the three patients with double anomalies, each had one with a tracheal involvement. One hundred and five minor anomalies were found and are listed. They were divided into 52 on the right and 53 on the left.

Approximately 10 per cent of patients undergoing bronchography presented some form of tracheobronchial anomaly.

Section snippets

THE MINOR ANOMALIES

Right

Double-stem superior segments49 (2)
Missing upper lobe apical segment3

Left

Double stem superior segment39 (2)
Superior segmental orifice in main stem11
Superior segmental orifice in lingular stem1
Lingular segmental orifice in lower lobe stem1

. This tracheal branch is probably a “true supernumerary.”

. This tracheal branch is probably of the type which Boyden calls a “displaced apical.”

. This type of pre-eparterial branch, or double stemmed right upper, occurring below the trachea,

RESUMEN

En un estudio de 1200 broncogramas completos, bilaterales y consecutivos fueron encontradas 27 anomalías mayores en 24 sujetos, con una desproporción de tres anormalidades en el lado izquierdo por 24 en el derecho.

En tres pacientes con anomalías dobles cada uno presentaba una afectando a la traquea. Se observaron 105 anomalías menores, que son enumeradas. De estas 52 radicaban en el lado derecho y 53 en el izquierdo.

Aproximadamente el 10% de los sujetos broncografiados presentaban algun tipo de

ZUSAMMENFASSUNG

Bei einer Überprüfung von 1200 aufeinanderfolgenden, beiderseitigen, kompletten Bronchographien wurden bei 24 Patienten 27 grössere Anomalien festgestellt. Es bestand ein Missverhältnis von 3 Abnormitäten auf der linken Seite zu 24 auf der rechten Seite. Bei jedem der drei Patienten mit zweifacher Anomalie ging eine Anomalie mit Tracheabeiteiligung einher. In 105 Fällen fanden sich kleinere Anomalien, die listenmässig aufgeführt wurden. Sie verteilten mit 52 Anomalien auf die rechte und 53 auf

ACKNOWLEDGMENT

The author is indebted to Drs. Richard H. Overholt, Francis M. Woods, Wilford B. Neptune, Norman J. Wilson, and James A. Bougas for permission to study their cases; and to Dr. Mirle A. Kellett for verification of these abnormalities.

REFERENCES (2)

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