Tuberc Respir Dis.  1985 Sep;32(3):198-202. 10.4046/trd.1985.32.3.198.

A Case of Congenital Agenesis of the Right Lung with Dextrorotation of Heart

• KMID: 2528738
• DOI: http://doi.org/10.4046/trd.1985.32.3.198

Abstract

A case of congenital agenlesis of the right lung of a 16-year-old male is presented in detail with some review on literature. He had been well until 1 year ago, when mild exertional dyspnea developed. But he neglected. From 1 month earlier, productive coughing and fever were associated. So he visited local clinic and πas transferred to our hospital under the impression of pleurisy of right chest. His past history and family history were not contributory. Physical examination revealed. asymmetrical development of thoracic cage and slight limitation of respiratory movement on the right. There were dullness on percussion and absence of breathing sounds over entire lung field, except upper portion of the right chest. The cardiac dullness was shifted to the right and the heart sounds were heard at the right 3rd intercostal space, mid clavicular line. A roentgenogram of the chest reγealed shifting to the right of trachea and mediastinum, dence homogeneous densities on entire right chest and hyperlucency on the left lung with herniation to the upper por t ion of the right chest. Bronchoscopy revealed total obstruction of right main bronchus with granulation tissue. Bronchogram revealed the right main bronchus was ended with a blind pouch 0.5 cm below the carina, but left main bronchus and its trees were intact. Pulmonary angiogram showed non-visualization of the right pulmonary artery and 180 º counterclockwise rotation of the heart. Pulmonary function test disclosed decreased vital capacity and maximal breathing capacity. The patient was treated by antibiotics with good response.