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J Korean Med Sci.  2014 Apr;29(4):609-613. 10.3346/jkms.2014.29.4.609.

Pneumonectomy Case in a Newborn with Congenital Pulmonary Lymphangiectasia

Affiliations
  • 1Department of Pediatrics, Eulji University College of Medicine, Daejeon, Korea. dunggiduk@eulji.ac.kr
  • 2Department of Thorasic and Cardiovascular Surgery, Eulji University College of Medicine, Daejeon, Korea.
  • 3Department of Pathology, Eulji University College of Medicine, Daejeon, Korea.
  • 4Department of Radiology, Eulji University College of Medicine, Daejeon, Korea.

Abstract

Congenital pulmonary lymphangiectasia (CPL) is a rare lymphatic pulmonary abnormality. CPL with respiratory distress has a poor prognosis, and is frequently fatal in neonates. We report a case of pneumonectomy for CPL in a newborn. An infant girl, born at 39 weeks' after an uncomplicated pregnancy, exhibited respiratory distress 1 hr after birth, which necessitated intubation and aggressive ventilator care. Right pneumonectomy was performed after her symptoms worsened. Histologic examination indicated CPL. She is currently 12 months old and developing normally. Pneumonectomy can be considered for treating respiratory symptoms for improving chances of survival in cases with unilateral CPL.

Keyword

Lymphangiectasia, Pulmonary, Congenital; Infant, Newborn; Pneumonectomy

MeSH Terms

Female
Gestational Age
Humans
Infant, Newborn
Lung/pathology
Lung Diseases/*congenital/diagnosis/pathology/radiography
Lymphangiectasis/*congenital/diagnosis/pathology/radiography
Lymphatic Vessels/pathology
Tomography, X-Ray Computed
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