Bronchopleural Fistula in A Neonate

Susan Shen-Schwarz The Lillian and Henry M. Stratton-Hans Popper Department of Pathology and Division of Neonatology, The Jack and Lucy Clark Department of Pediatrics, Mount Sinai Medical Center, New York, New York, 10029

Prabha C. Dosi The Lillian and Henry M. Stratton-Hans Popper Department of Pathology and Division of Neonatology, The Jack and Lucy Clark Department of Pediatrics, Mount Sinai Medical Center, New York, New York, 10029

Karl O. Schwarz The Lillian and Henry M. Stratton-Hans Popper Department of Pathology and Division of Neonatology, The Jack and Lucy Clark Department of Pediatrics, Mount Sinai Medical Center, New York, New York, 10029

Edwin G. Brown The Lillian and Henry M. Stratton-Hans Popper Department of Pathology and Division of Neonatology, The Jack and Lucy Clark Department of Pediatrics, Mount Sinai Medical Center, New York, New York, 10029

Lotte Strauss The Lillian and Henry M. Stratton-Hans Popper Department of Pathology and Division of Neonatology, The Jack and Lucy Clark Department of Pediatrics, Mount Sinai Medical Center, New York, New York, 10029

Abstract

Bronchopleural fistula (BPF) produced by endotracheal suction catheter is a known cause of persistent pneumothorax in preterm infants in intensive care nurseries. This report describes the pulmonary pathology of a neonate who had sustained this injury. The observation suggests that the abnormal airflow results in severe damage of the involved lobe and an unusually mild bronchopulmonary dysplasia in the rest of the lung. This is in agreement with the fact that BPF acts as the path of least resistance for the oxygen-rich air from the ventilator.

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Bronchopleural Fistula in A Neonate

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Bronchopleural Fistula in A Neonate

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