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Titolo:
Lung volume reduction surgery in lieu of pneumonectomy in an infant with severe unilateral pulmonary interstitial emphysema
Autore:
Messineo, A; Fusaro, F; Mognato, G; Sabatti, M; DAmore, ESG; Guglielmi, M;
Indirizzi:
IRCCS, Pediat Inst Burlo Garofolo, Trieste, Italy IRCCS Trieste ItalyIRCCS, Pediat Inst Burlo Garofolo, Trieste, Italy Univ Padua, Dept Pediat, Div Pediat Surg, I-35100 Padua, Italy Univ PaduaPadua Italy I-35100 at, Div Pediat Surg, I-35100 Padua, Italy Univ Padua, Dept Pathol, I-35100 Padua, Italy Univ Padua Padua Italy I-35100 Padua, Dept Pathol, I-35100 Padua, Italy
Titolo Testata:
PEDIATRIC PULMONOLOGY
fascicolo: 5, volume: 31, anno: 2001,
pagine: 389 - 393
SICI:
8755-6863(200105)31:5<389:LVRSIL>2.0.ZU;2-#
Fonte:
ISI
Lingua:
ENG
Soggetto:
CONGENITAL LOBAR EMPHYSEMA; VENTILATION;
Keywords:
pulmonary interstitial emphysema; lung volume reduction surgery; infant; pneumonectomy; cystic adenomatoid malformation; prenatal diagnosis;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
15
Recensione:
Indirizzi per estratti:
Indirizzo: Messineo, A Ist Burlo Garofolo, Via Istria 65-1, I-34137 Trieste, Italy Ist Burlo Garofolo Via Istria 65-1 Trieste Italy I-34137 taly
Citazione:
A. Messineo et al., "Lung volume reduction surgery in lieu of pneumonectomy in an infant with severe unilateral pulmonary interstitial emphysema", PEDIAT PULM, 31(5), 2001, pp. 389-393

Abstract

A male infant with a prenatal diagnosis (at 20 weeks' gestation) of cysticadenomatoid malformation was delivered after 38 weeks' gestation (birth weight, 3 kg) and admitted to the neonatal intensive care unit. During the first few days of life, he developed mild respiratory distress; a chest radiograph and computed tomography scan showed multiple cystic areas in the leftlower lobe with hyperinflation and herniation of the upper lobe across themidline. At 3 weeks of age, a left lower lobectomy was performed for presumed cystic malformation. To our surprize the pathology reports revealed pulmonary interstitial emphysema. The postoperative chest radiograph was unchanged, and mechanical ventilation was necessary and required progressively increasing ventilatory settings to provide adequate support. High-frequency oscillatory ventilation and selective right bronchus intubation failed to improve lung function. After 3 weeks, a left thoracotomy was repeated and lung volume reduction was performed with removal of 50% of the peripheral hyperinflated parenchyma. Postoperative recovery was rapid; the child was weaned from the ventilator after 3 days and discharged after 3 weeks. Follow-up chest X-rays showed a normally expanded right lung with mediastinal structures back to midline and a small left lung. Favorable results persisted at 3 years of follow-up. This first and successful experience with lung volume reduction in a neonate suggests that infants who need removal of a large portion of lung parenchyma to achieve adequate ventilation and gas exchange, lung volume reduction surgery should be considered as an alternative to pneumonectomy. (C) 2001Wiley-Liss. Inc.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 04/04/20 alle ore 09:06:28