Left Upper Lobectomy for Congenital Lobar Emphysema in a Low Weight Infant

Kanakis, Meletios; Petsios, Konstantinos; Bobos, Dimitrios; Sarafidis, Kosmas; Nikopoulos, Stefanos; Kyriakoulis, Konstantinos G; Lioulias, Achilleas; Giannopoulos, Nicholas

doi:10.1155/2016/4182741

Cited by 4 publications

(9 citation statements)

References 7 publications

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“…Wherein bronchospasmolytic therapy showed lack of efficacy. According to scientific sources lobar hyperexpansion 14-15% of all congenital lung abnormalities, is more common in boys and is localized mainly in the upper lobe of the left lung [7,8]. In our observations suffered boys too, in one case, the process was typically localized in the left upper lobe (Figure 1), the other -in the right lobe.…”

Section: Resultssupporting

confidence: 49%

Orphan Disease in Structure of Recurrent Lower Respiratory Tract Diseases in Children from One To Five

Зубаренко

Koval

Doykova³

et al. 2017

ARS Medica Tomitana

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The paper contains structure analysis of the lower respiratory tract recurrent disease in 180 children aged one to five years, residents of Odessa, who were treated in pulmonology department of Children’s Academician BJ Reznik City Clinical Hospital. The examinees are represented by two groups: 150 children with recurrent wheezing and 30 - with recurrent pneumonia. The selection criteria were: abnormality of central nervous system, abnormality, cystic fibrosis, congenital heart defects, tuberculosis, human immunodeficiency virus-infection. The analysis detected that in the survey sample with recurrent lower respiratory tract disease 3.88% of children had Orphan disease. Thus in the group of children with recurrent wheezing were diagnosed 2 cases of congenital lobar hyperexpansion (ORPHA 1928), one case of lung bronchogenic cyst (ORPHA 2357), one case of pulmonary hypoplasia in the lower lobe of the left lung (ORPHA 2257), and one case of primary ciliary dyskinesia (ORPHA 98,861). Regarding the entire structure of recurrent wheezing, most frequently was detected atopic asthma (49.33%). In 24.6% cases the cause of recurrent wheezing was associated with the otolaryngological pathology. Bronchopulmonary dysplasia was diagnosed in two children. Recurrent pneumonia cases were differentiated if the localization of process was at the same or different places. When one-sided localization of pneumonia was established, next congenital airway malformations were diagnosed - 3 cases of congenital cystic adenomatoid malformations (type I). Genetic pathology often occurred in cases with different lesions location. In all cases of uncertain diagnosis, predictors of recurrent lower respiratory tract diseases were revealed.

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Section: Resultssupporting

confidence: 49%

Orphan Disease in Structure of Recurrent Lower Respiratory Tract Diseases in Children from One To Five

Зубаренко

Koval

Doykova³

et al. 2017

ARS Medica Tomitana

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“…CLE is most frequently identified in full term infants, usually up to 6 months [ 3 , 4 ]. In adults, this condition is much more uncommon [ 3 , 4 ].…”

Section: Discussionmentioning

confidence: 99%

An Unusual Presentation of Congenital Lobar Emphysema

Arnaud¹,

Varon

Surani

2017

Case Reports in Pulmonology

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Congenital lobar emphysema is an uncommon bronchopulmonary malformation characterized by lobar overinflation and accompanying alveolar septum damage that leads to compression atelectasis of the lung parenchyma and displacement of mediastinal structures, with the resultant ventilation-perfusion mismatch. We present a case of a 33-year-old lady with progressive exertional dyspnea. Chest radiograph findings lead to the suspicion of congenital lobar emphysema, which was then confirmed by a computed tomography (CT) scan. This condition is most commonly identified in newborns, with very few cases being reported in adults. Lobectomy remains the treatment of choice and in general has good outcome.

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“…Ultrasound and fetal magnetic resonance imaging (MRI) help prenatal diagnosis of CLE and associated complications such as polyhydramnios and fetal hydrops [19]. Ultrasound may demonstrate gradual increase or decrease of the lesion echogenicity [20].…”

Section: Diagnostic Methodsmentioning

confidence: 99%

“…Early neonatal diagnosis is crucial and in many cases is complicated due to the variety of its clinical presentation that varies from mild tachypnea to severe respiratory distress [19].Diagnosis is often confused with pneumonia and pneumothorax [24].A case of CLE with pneumothorax due to a large bulla in an adult has been reported [25].It is a significant risk during an aesthetic induction if undiagnosed preoperatively [26].…”

Section: Diagnostic Methodsmentioning

confidence: 99%

“…Evidence of mediastinal shift with subsequent compression of the unaffected lung lobes indicates surgical excision. Some surgeons recommended surgery in all infants younger than 2 months or older than 2 months with severe respiratory symptoms [19,35]. The surgical options for treatment of CLE include lobectomy through thoracotomy or video-assisted lobectomy [47].Segmental resections of can be performed safely while conserving healthy lung tissue.…”

Section: Treatmentmentioning

confidence: 99%

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