FIGURE 2 - uploaded by Vishal Vinayak Bhende
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Insertion of Fogarty catheter with the aid of fiber-optic bronchoscope Image credits: Dr. Vishal V. Bhende
Source publication
Abstract
This is a case report of a child who had acyanotic congenital heart disease - ventricular septal defect (VSD) and a patent ductus arteriosus (PDA) with severe pulmonary arterial hypertension. The child underwent open-heart surgery - VSD closure with PDA ligation - and six months later was re-admitted for congenital lobar emphysema of the...
Context in source publication
Context 1
... catheter. Scope confirmed the position of Fogarty in the right main bronchus and we inflated the balloon just after the cut-off of the right upper lobe bronchus under direct vision given to us by fiber-optic bronchoscope (Figure 2). Up to this light sedation under single-dose midazolam and ketamine was used so that spontaneous ventilation would not cause any further hyperinflation. ...
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We present the case of a term newborn, with no significant perinatal history, who was taken to the emergency room at 18 days old for intermittent episodes of cyanosis, with no signs of respiratory distress, oxygen saturation of 85%, arterial gases with moderate hypoxemia, and normal chest X-ray. The transthoracic echocardiogram (TTE) revealed a lar...
[This corrects the article DOI: 10.3389/fcell.2020.529544.].
Citations
... 5,9 Lobectomy can lead to drastic improvement and is well tolerated. 10 ...
Key Clinical Message
Clinicians should think beyond pneumonia and left‐to‐right shunts when young children have persistent respiratory distress. Congenital lung anomalies, including congenital lobar emphysema, should be considered differential diagnoses. Chest X‐ray and CT imaging should be conducted to gain insight regarding and establish diagnosis, respectively.
Abstract
Congenital lobar emphysema (CLE) is a rare and life‐threatening congenital lung anomaly that often poses a diagnostic dilemma. The issue can be further confused with coexistent congenital heart defects (CHDs) with left‐to‐right shunts. The clinical presentation of CLE during infancy is similar to that of CHD, with CHD being more common entity, gets detected early. The presence of underlying CLE may only be suspected after CHD repair. In our case, a 2‐month‐old infant presented with respiratory distress. On evaluation, a large ventricular septal defect and patent ductus arteriosus were detected. After successful cardiac defect repair, the infant continued to experience cough, respiratory distress, and failure to thrive. Furthermore, on radiological reanalysis, CLE was suspected on X‐ray and confirmed via computed tomography. CLE can be detected on chest X‐rays; however, at an early stage, it is often confusing and misleading.
... Associated congenital anomalies involving the cardiovascular system (14-20%), followed by the renal, musculoskeletal, and gastrointestinal systems, are well documented. Clinical manifestations of other anomalies can sometimes be so prominent that CLE is easily overlooked [2,7]. Preoperative echocardiography, contrast-enhanced CT scan of the chest, renal function test, and other investigations are recommended to rule out any associated congenital anomalies [4,6]. ...
... Surgical lobectomy is the most widely used treatment option, with excellent results; however, medical management can be considered for asymptomatic or mildly symptomatic patients [6,7]. A few surgeons have also advocated for segmental lung resection rather than lobectomies [10]. ...
Congenital lobar emphysema (CLE) is a rare developmental malformation that presents as neonatal respiratory distress and can be successfully managed with prompt intervention. Hyperinflation of the affected lobe with mediastinal shift is the characteristic radiological finding. However, the etiology mostly remains unknown. Here, we report a case of CLE that microscopically revealed bronchial cartilaginous hypoplasia as an underlying cause of this malformation.
