Surgical management of congenital lobar emphysema associated with CHD

Lung Lobectomy ◽

Emphysematous Lung ◽

Abstract Congenital lobar emphysema is often associated with CHD in early infancy; however, the surgical strategy for this condition is still controversial. We report three successful cases of emphysematous lung lobectomy before the surgical repair of associated CHD. Aggressive lobectomy preceding cardiac interventions is advised when the management of congenital lobar emphysema is difficult.

Emergency diagnosis and treatment of congenital lobar emphysema in a puppy

Veterinary Record Case Reports ◽

10.1136/vetreccr-2018-000592 ◽

2018 ◽

Vol 6 (3) ◽

pp. e000592 ◽

Cited By ~ 1

Author(s):

Naomi F Earley ◽

Michael E Herrtage ◽

Jon L Hall

Keyword(s):

Case Report ◽

Rare Condition ◽

Accurate Diagnosis ◽

Diagnosis And Treatment ◽

Radiographic Findings ◽

Emergency Diagnosis ◽

Lung Lobectomy ◽

Acute Dyspnoea ◽

Congenital lobar emphysema is a rare condition in dogs. A three-month-old pug presented with acute dyspnoea and radiographic findings diagnosed congenital lobar emphysema. Due to the patient’s rapidly deteriorating ventilation, an emergency right middle lung lobectomy was performed and recovery was uneventful. This case report describes the importance of making a prompt and accurate diagnosis of this condition, based on radiographic findings, to facilitate immediate treatment.

Congenital Lobar Emphysema: Perioperative Evaluation and Management

The Heart Surgery Forum ◽

10.1532/hsf.3823 ◽

2021 ◽

Vol 24 (3) ◽

pp. E517-E521

Author(s):

Montaser Elsawy Abd Elaziz ◽

Mohamed Gaber Elsayed ◽

Mohamed Ahmed El-hag Aly

Keyword(s):

Respiratory Distress ◽

Surgical Management ◽

University Hospital ◽

Recurrent Pneumonia ◽

Diagnostic Modality ◽

Early Management ◽

The Mean ◽

Background: Congenital lobar emphysema (CLE) is a lung malformation characterized by overdistension and air trapping in the affected lobe. It is one of the causes of neonatal and infantile respiratory distress. This study aimed to evaluate our experience regarding perioperative and surgical management in children with CLE. Methods: A retrospective observational study was done for all CLE patients who underwent surgery at Menoufia University Hospital. Perioperative data collected included demographic, clinical, and radiological findings, as well as operative and postoperative data. Results: We included 30 neonates and infants who suffered from CLE between January 2013 and December 2020; the mean age was 111.43 ± 65.19 days, and 21 were males. All cases presented with respiratory distress; 19 had cyanosis, and 15 had recurrent pneumonia and fever. Plain chest x-ray and computed tomography (CT) revealed emphysema in all cases. Lobectomy was done in all cases; the mean age at surgery was 147.58 ± 81.49 days. Postoperative complications occurred in 5 patients, and 2 of them needed mechanical ventilation. The follow-up duration ranged from 3 months to 1 year (except 1 case lost to follow-up after 3 months), and all patients were doing well. Conclusion: CLE is a rare bronchopulmonary malformation that requires a high index of clinical suspicion, especially in persistent and recurrent infantile respiratory distress. Chest CT is the most useful diagnostic modality. Early management of CLE improves outcome and prevents life-threatening complications. Surgical management is the treatment of choice in our center, without recorded mortality.

Surgical management of congenital lobar emphysema: A 15 years experience in a tertiary thoracic surgery unit

Journal of the Egyptian Society of Cardio-Thoracic Surgery ◽

10.1016/j.jescts.2018.10.001 ◽

2018 ◽

Vol 26 (4) ◽

pp. 308-317 ◽

Cited By ~ 1

Author(s):

Essam Elbadry Hashim Mohamed ◽

Ayman Mohamed Mohamed Abdel Ghaffar ◽

Khaled Mohamed Abdel-Aal ◽

Abdelhady Ahmed Helmy ◽

Mostafa Ashry

Keyword(s):

Thoracic Surgery ◽

Surgical Management ◽

A case report of congenital lobar emphysema

International Journal of Contemporary Pediatrics ◽

10.18203/2349-3291.ijcp20201004 ◽

2020 ◽

Vol 7 (4) ◽

pp. 945

Author(s):

Aditya K. ◽

Parvathi K. ◽

Prabhakar V.

Keyword(s):

Case Report ◽

Lower Respiratory Tract ◽

Supportive Therapy ◽

The Past ◽

Lung Lobectomy ◽

History Of ◽

Alveolar Overdistension ◽

Lobar Emphysema ◽

The Right

Congenital lobar emphysema (CLE), also known as congenital alveolar overdistension, is a developmental anomaly of the lower respiratory tract that is characterized by hyperinflation of one or more of the pulmonary lobes. CLE is a rare congenital malformation with a prevalence of 1 in 20,000 to 1 in 30,000. We are reporting a 4-month-old boy presented with complaints of cough and cold for 3 days with history of similar complaints in the past at age of 1month and 2 months. Investigations revealed hyperlucency of left upper zone with tracheal shift and mild shift of the heart to the right. Elective Left Upper Lung Lobectomy was done and Appropriate supportive therapy given and child recovered well.

Surgical Management of Infants with Congenital Lobar Emphysema and Concomitant Congenital Heart Disease

The Heart Surgery Forum ◽

10.1532/hsf98.20041041 ◽

2004 ◽

Vol 7 (6) ◽

pp. E644-E649 ◽

Cited By ~ 7

Author(s):

Riza Dogan ◽

Omer Faruk Dogan ◽

Mustafa Yilmaz ◽

Metin Demircin ◽

Ilhan Pasaoglu ◽

...

Keyword(s):

Congenital Heart Disease ◽

Heart Disease ◽

Surgical Management ◽

Congenital Heart ◽

Bronchopulmonary dysplasia in extremely premature infant with congenital lobar emphysema: a case report

BMC Pediatrics ◽

10.1186/s12887-021-02772-3 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Bingchun Lin ◽

Huitao Li ◽

Chuanzhong Yang

Keyword(s):

Premature Infant ◽

Bronchopulmonary Dysplasia ◽

Premature Infants ◽

Gestational Age ◽

Middle Lobe ◽

Severe Respiratory Distress ◽

X Ray ◽

Chest X Ray ◽

Abstract Background Congenital lobar emphysema (CLE) is a congenital pulmonary cystic disease, characterized by overinflation of the pulmonary lobe and compression of the surrounding areas. Most patients with symptoms need an urgent surgical intervention. Caution and alertness for CLE is required in cases of local emphysema on chest X-ray images of extremely premature infants with bronchopulmonary dysplasia (BPD). Case presentation Here, we report a case of premature infant with 27 + 4 weeks of gestational age who suddenly presented with severe respiratory distress at 60 days after birth. Chest X-ray and computed tomography (CT) indicated emphysema in the middle lobe of the right lung. The diagnosis of CLE was confirmed by histopathological examinations. Conclusions Although extremely premature infants have high-risk factors of bronchopulmonary dysplasia due to their small gestational age, alertness for CLE is necessary if local emphysema is present. Timely pulmonary CT scan and surgical interventions should be performed to avoid the delay of the diagnosis and treatment.

Tracheoinnominate fistula: surgical management of an iatrogenic disaster

The Journal of Laryngology & Otology ◽

10.1017/s0022215106001514 ◽

2006 ◽

Vol 120 (8) ◽

pp. 676-680 ◽

Cited By ~ 26

Author(s):

R W Ridley ◽

J B Zwischenberger

Keyword(s):

Operating Room ◽

Surgical Management ◽

Surgical Repair ◽

Surgical Intervention ◽

Pectoralis Major Muscle ◽

Muscle Flap ◽

Rare Condition ◽

Innominate Artery ◽

Significant Potential ◽

High Index Of Suspicion

Tracheoinnominate fistula (TIF) is a rare condition with significant potential for mortality if surgical intervention is not immediate. We present two cases of successfully managed TIF. Both cases involve ligation and resection of the innominate artery at the TIF followed by a pectoralis major muscle flap. In both cases, success was largely due to a high index of suspicion and immediate control of the bleeding with transport to the operating room for surgical repair. The history, aetiology, and pathogenesis of TIF are reviewed, yielding an algorithm for recommended management of TIF.