Abstract
Background: Congenital pulmonary airway malformation is a rare congenital lung lesion. Infants with large Congenital pulmonary airway malformation can present with a series of serious symptoms. Surgery is still the main treatment. Thoracoscopic lobectomy for neonates is rarely reported.Case presentationThe authors report a case of a congenital pulmonary airway malformation located in the left lower lung of a 4-day-old female infant. Prenatally, the cystic adenomatoid malformation volume ratio was 2.99 according to ultrasound scan. After birth, thoracoscopic lobectomy was performed to alleviate respiratory failure and mediastinal hernia. The patient’s clinical symptoms and the X-ray re-examination showed good postoperative recovery.ConclusionsThe purpose of this study is to indicate that a safe and effective minimally invasive surgery for the giant congenital pulmonary airway malformation is feasible, even for infants only 4 days old.
Highlights
Congenital pulmonary airway malformation is a rare congenital lung lesion
The Cystic adenomatoid malformation volume ratio (CVR) is calculated by taking the product of the three-dimensional measurements of the lesion and 0.523 and dividing this result by the head circumference
Open surgery and foetal surgery for Congenital pulmonary airway malformation (CPAM) have been reported in recent years, but rare cases of thoracoscopic lobectomy in neonates have been reported
Summary
Congenital pulmonary airway malformation is a rare congenital lung lesion. Infants with large Congenital pulmonary airway malformation can present with a series of serious symptoms. Congenital pulmonary airway malformation (CPAM), formerly known as congenital cystic adenomatoid malformation (CCAM), is a rare developmental dysplastic lesion of the foetal tracheobronchial tree, and minimally invasive surgery for CPAM in children has become more common in recent year s[1]. Open surgery and foetal surgery for CPAM have been reported in recent years, but rare cases of thoracoscopic lobectomy in neonates have been reported. In this case, the CVR measured in the foetal period increased to 2.99. The CVR measured in the foetal period increased to 2.99 This is the first report of thoracoscopic lobectomy performed on a neonate on the 4th day after birth
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