A Child with Lung Hypoplasia, Congenital Heart Disease, Hemifacial Microsomia, and Inguinal Hernia: Ipsilateral Congenital Malformations.

Chengming Fan,Jijia Liu,Jinfu Yang,Can Huang

doi:10.1155/2015/741540

Chengming Fan, Jijia Liu + Show 2 more

Open Access

https://doi.org/10.1155/2015/741540

Copy DOI

Abstract

A 3-year-old Chinese boy was diagnosed with ipsilateral congenital malformations: right lung hypoplasia, dextroversion of heart, atrial septal defect, hepatic vein drainage directly into the right atrium, facial asymmetry, right microtia and congenital deafness, and indirect inguinal hernia. He underwent indirect inguinal hernia repair at the age of 2. Although without any facial plastic surgery performed, he underwent a repair of atrial septal defect and recovered uneventfully. At 6-month follow-up, the patient was free from any symptom of dyspnea; his heart function returned to the first grade.

Highlights

Lung hypoplasia or agenesis is part of the spectrum of malformations featured by incomplete development of lung tissue and is often associated with other ipsilateral congenital malformations [1]
Physical examination showed facial asymmetry, right microtia with aural atresia (Figure 1), a surgical scar of right indirect inguinal hernia repair, stony dullness, and absent breath sounds in the right up chest
Color Doppler ultrasound examination of the abdomen and urinary system was all normal. He was diagnosed with ipsilateral congenital malformations: right lung hypoplasia, dextroversion of heart, atrial septal defect (ASD), hepatic vein drainage directly into the right atrium, facial asymmetry, right microtia with deafness, and indirect inguinal hernia

Summary

Introduction

Lung hypoplasia or agenesis is part of the spectrum of malformations featured by incomplete development of lung tissue and is often associated with other ipsilateral congenital malformations [1]. Congenital malformations associated with pulmonary hypoplasia may be present in any system including cardiovascular system [2], gastrointestinal system, central nervous system, and musculoskeletal system. We described a 3-year-old Chinese boy, who was referred to us for heart murmur in right hemithorax. He was found to have hypoplasia of right lung, dextroversion of heart, atrial septal defect (ASD), hepatic vein drainage directly into the right atrium through coronary sinus, facial asymmetry, microtia, and indirect inguinal hernia

Case Report

Discussion