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Congenital pulmonary airway malformation with atrial septal defect and pulmonary hypertension for lobectomy-anesthetic considerations. | LitMetric

AI Article Synopsis

  • A rare case of congenital pulmonary airway malformation (CPAM) is highlighted, occurring in a 6-month-old with associated congenital heart issues, specifically atrial septal defect and pulmonary hypertension.
  • The child experienced severe respiratory distress and underwent a right lobectomy for CPAM.
  • Successful post-operative outcomes were achieved through careful management, real-time monitoring, and teamwork, allowing for immediate extubation after surgery.

Article Abstract

The association of congenital pulmonary airway malformation (CPAM) with congenital heart disease is rare. We present the case of a 6-month-old child with atrial septal defect and pulmonary hypertension (PH) who presented with severe respiratory distress and hypoxia. The patient underwent right lobectomy for CPAM. With timely management, real-time monitoring, one lung ventilation, and adequate analgesia, we were able to extubate the child in the immediate postoperative period. We conclude that with meticulous planning and multidisciplinary team approach, such complex cases can be managed successfully.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4900345PMC
http://dx.doi.org/10.4103/0971-9784.179624DOI Listing

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