Congenital lobar emphysema: Diagnostic and therapeutic considerations

Karnak, İbrahìm; Şenocak, Mehmet Emìn; Çiftçi, Arbay Ö.; Büyükpamukçu, Nebìl

doi:10.1016/s0022-3468(99)90009-x

Cited by 130 publications

(157 citation statements)

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“…Bronchial cartilage dysplasia [2,4,7], hypoplasia [1,6], and aplasia [8] were noted in later reports, and we observed bronchial hypoplasia in our own case. The same as Karnak et al pointed out in humans [5], there appears to be a close relationship between lobar emphysema and bronchial cartilage abnormalities in the dog too.…”

supporting

confidence: 66%

Surgical Correction of Congenital Lobar Emphysema in a Dog

Matsui

Kakehata

Hyodo³

et al. 2004

The Journal of Veterinary Medical Science

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ABSTRACT. Massive lobar emphysema in the middle lobe of the right lung was observed in a dog brought to our clinic with sudden onset of tension pneumothorax, and lobectomy was performed to excise it. Pathological examination resulted in a diagnosis of congenital bronchiectasis associated with bronchial cartilage hypoplasia. Two cases of diagnosis and successful treatment of congenital lobar emphysema have been reported in dogs. KEY WORDS: bronchiectasis, canine, congenital lobar emphysema.

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supporting

confidence: 66%

Surgical Correction of Congenital Lobar Emphysema in a Dog

Matsui

Kakehata

Hyodo³

et al. 2004

The Journal of Veterinary Medical Science

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“…However, the mediastinal shift associated with CLE makes intubation difficult [14]. Intubation should thus be supplemented with fiberoptic bronchoscopy in case of tracheal deviation, and should be attempted in an anesthetized but spontaneously breathing patient [15].…”

Section: Summary and Discussionmentioning

confidence: 99%

Congenital Lobar Emphysema in Adult Treated With Video Assisted Thoracoscopic Lobectomy

Perry¹,

Espiritu²,

Schroeder³

2013

J Pulm Respir Med

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Congenital Lobar Emphysema (CLE) is an uncommon pulmonary disorder in which one or more pulmonary lobes is over-inflated and distended. Fewer than 5% of cases are diagnosed beyond the first 6 months of life. We describe CLE that presented in a 25 yr old female who was successfully treated with minimally invasive video assisted thoracoscopic surgery (VATS). Case ReportA 25-year old Puerto Rican female presented with increased shortness of breath, cough and chest pain. Her past medical history included diagnosis of asthma In Puerto-Rico at the age of five, treated with advair. During her third pregnancy, at the age of 23, the patient experienced shortness of breath and reported "fainting". A chest CT at that time diagnosed her with lobar emphysema.In the United States, she presented to an outside hospital with exacerbation of shortness of breath, where she was thought to have a pneumothorax, and a right chest tube was placed. She was then transferred to the Medical Center ICU. At presentation, She was afebrile, exhibiting tachycardia (117 bpm), with 28 respirations per minute, oxygen saturation of 91%, and decreased breath sounds on the right chest field.Pulmonary function test suggested of Restrictive Lung Disease (RLD) ( Table 1). The patient's initial X-rays, as seen in Figure 1, indicate hyperlucency on the right side, flattening of the right diaphragm, and a slight shift of mediastinum to the left. The right lung is collapsed inferiorly. There are a severe number of bullae within the right hemithorax, with some consolidation or collapse in the region of the right perihilar region.CT taken before surgery documented large bullae, mediastinal shift, and compressed right lung. (Figure 2 and 3). Treatment and Surgical FindingsSince the patient's shortness of breath was not successfully managed with Oxygen support and chest tube drainage, she was scheduled for a bronchoscopy and a Video Assisted Thoracoscopic Surgery (VATS) -right upper lobectomy. On BronchoscopyThe Right Upper Lobe (RUL) takeoff was a slit-like lumen, slightly distorted -confirms the diagnosis of CLE.VATS right upper lobectomy was performed with general endotracheal anesthesia with a double lumen tube and one lung ventilation. We used 3 ports; 10mm port in the seventh intercostal space in anterior axillary line, 10mm trocar in posterior axillary Using a 10 mm 30 degree Olympus scopeThe right upper lobe composed entirely of large bullae. The bullae did not deflate and were densely adherent to the chest wall. There were also aberrant blood vessels from the chest wall to the bullae, with no apparent superior pulmonary vein, pulmonary artery, or bronchi going to the bullous portion. However, the segmental bronchi and major pulmonary vessels were found attached to the area of the hilum of the atritic lobe. An endoscopic EndoGIA (Covidian) used to divide the vessels and the rudimentary bronchus. The lobe removed with an endobag. A 28 french chest tube was left in the chest. PathologyMicroscopic examination of the resected lobe showed dense fi...

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“…Although surgery is the traditional routine management of congenital lobar emphysema, the contemporary management directs toward conservativenon-operative approach with follow-up in asymptomatic or mild symptomatic patients [44].Long-term evaluation of surgically and conservatively treated asymptomatic children showed no difference in lung growth which confirmed that asymptomatic or mild symptomatic patients do not benefit from surgical treatment [45].The conservative management involvesclose follow-up of the children, alarming the family about the disease features [46].…”

Section: Treatmentmentioning

confidence: 99%

Management of Congenital Lobar Emphysema: The Current Challenges

Kamal¹

2018

ARC Journal of Surgery

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Congenital lobar emphysema: Diagnostic and therapeutic considerations

Cited by 130 publications

References 13 publications

Surgical Correction of Congenital Lobar Emphysema in a Dog

Surgical Correction of Congenital Lobar Emphysema in a Dog

Congenital Lobar Emphysema in Adult Treated With Video Assisted Thoracoscopic Lobectomy

Management of Congenital Lobar Emphysema: The Current Challenges

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