Abstract
A pneumothorax can arise in a variety of clinical settings in the operating room, from bleb rupture to iatrogenic injury. Should it expand in size and cause increase in intrapleural pressures with resultant diminished venous return, it becomes referred to as a tension pneumothorax. We report a case of a premature infant presenting for repair of congenital pulmonary airway malformation who suffered an iatrogenic tension pneumothorax during lung isolation with fogarty embolectomy catheter used for single lung ventilation in a neonate.
Highlights
Congenital pulmonary airway malformation (CPAM), formerly known as congenital cystic adenomatoid malformation (CCAM), is one of the most frequent pulmonary malformations that presents as a multicystic mass of pulmonary tissue with proliferation of bronchiolar structures that fail to mature [1]
We report a case of a premature infant presenting for repair of congenital pulmonary airway malformation who suffered an iatrogenic tension pneumothorax during lung isolation with fogarty embolectomy catheter used for single lung ventilation in a neonate
Injuries are associated with single-lung ventilation (SLV) devices, such as double-lumen tubes (DLT) and endobronchial blockers
Summary
Congenital pulmonary airway malformation (CPAM), formerly known as congenital cystic adenomatoid malformation (CCAM), is one of the most frequent pulmonary malformations that presents as a multicystic mass of pulmonary tissue with proliferation of bronchiolar structures that fail to mature [1]. We report a case of a premature infant presenting for repair of congenital pulmonary airway malformation who suffered an iatrogenic tension pneumothorax during lung isolation with fogarty embolectomy catheter used for single lung ventilation in a neonate. Children presenting with CPAM bring challenges with regard to their anesthetic management, including oxygenation and need for lung isolation.
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