Case report: Giant congenital pulmonary airway malformation initially managed and resected on ECMO

Congenital pulmonary airway malformations (CPAM) are a common congenital anomaly, occurring as a result of aberrant formation of pulmonary lobes or segments. Many patients with CPAM are treated with postnatal surgical excision within 1-year of age. CPAM that are enlarged to the point of causing an i...

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Main Authors: Richard Yeker, Bradley Segura, Daniel Saltzman, Donavon Hess Jr.
Format: Article
Language:English
Published: Elsevier 2016-06-01
Series:Journal of Pediatric Surgery Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2213576615300634
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author Richard Yeker
Bradley Segura
Daniel Saltzman
Donavon Hess Jr.
author_facet Richard Yeker
Bradley Segura
Daniel Saltzman
Donavon Hess Jr.
author_sort Richard Yeker
collection DOAJ
description Congenital pulmonary airway malformations (CPAM) are a common congenital anomaly, occurring as a result of aberrant formation of pulmonary lobes or segments. Many patients with CPAM are treated with postnatal surgical excision within 1-year of age. CPAM that are enlarged to the point of causing an intrathoracic mass effect may cause hydrops fetalis. Fetuses affected in this way may require prenatal intervention and immediate postnatal intervention. We herein report a case of a large CPAM causing hydrops fetalis and postnatal respiratory failure, treated by an aggressive prenatal and postnatal multidisciplinary approach, culminating in resection of the lesion while on extracorporeal membrane oxygenation (ECMO) support.
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spelling doaj.art-b3107d00f24f476fbca0b10154d071fa2022-12-21T20:02:14ZengElsevierJournal of Pediatric Surgery Case Reports2213-57662016-06-019C434410.1016/j.epsc.2016.04.003Case report: Giant congenital pulmonary airway malformation initially managed and resected on ECMORichard YekerBradley SeguraDaniel SaltzmanDonavon Hess Jr.Congenital pulmonary airway malformations (CPAM) are a common congenital anomaly, occurring as a result of aberrant formation of pulmonary lobes or segments. Many patients with CPAM are treated with postnatal surgical excision within 1-year of age. CPAM that are enlarged to the point of causing an intrathoracic mass effect may cause hydrops fetalis. Fetuses affected in this way may require prenatal intervention and immediate postnatal intervention. We herein report a case of a large CPAM causing hydrops fetalis and postnatal respiratory failure, treated by an aggressive prenatal and postnatal multidisciplinary approach, culminating in resection of the lesion while on extracorporeal membrane oxygenation (ECMO) support.http://www.sciencedirect.com/science/article/pii/S2213576615300634CPAMEarly resectionECMO
spellingShingle Richard Yeker
Bradley Segura
Daniel Saltzman
Donavon Hess Jr.
Case report: Giant congenital pulmonary airway malformation initially managed and resected on ECMO
Journal of Pediatric Surgery Case Reports
CPAM
Early resection
ECMO
title Case report: Giant congenital pulmonary airway malformation initially managed and resected on ECMO
title_full Case report: Giant congenital pulmonary airway malformation initially managed and resected on ECMO
title_fullStr Case report: Giant congenital pulmonary airway malformation initially managed and resected on ECMO
title_full_unstemmed Case report: Giant congenital pulmonary airway malformation initially managed and resected on ECMO
title_short Case report: Giant congenital pulmonary airway malformation initially managed and resected on ECMO
title_sort case report giant congenital pulmonary airway malformation initially managed and resected on ecmo
topic CPAM
Early resection
ECMO
url http://www.sciencedirect.com/science/article/pii/S2213576615300634
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AT bradleysegura casereportgiantcongenitalpulmonaryairwaymalformationinitiallymanagedandresectedonecmo
AT danielsaltzman casereportgiantcongenitalpulmonaryairwaymalformationinitiallymanagedandresectedonecmo
AT donavonhessjr casereportgiantcongenitalpulmonaryairwaymalformationinitiallymanagedandresectedonecmo