Congenital pulmonary airway malformation with atrial septal defect and pulmonary hypertension for lobectomy‑anesthetic considerations.
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Date
2016-04
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Abstract
The association of congenital pulmonary airway malformation (CPAM) with congenital heart disease is rare.
We present the case of a 6‑month‑old child with atrial septal defect and pulmonary hypertension (PH) who
presented with severe respiratory distress and hypoxia. The patient underwent right lobectomy for CPAM.
With timely management, real‑time monitoring, one lung ventilation, and adequate analgesia, we were able
to extubate the child in the immediate postoperative period. We conclude that with meticulous planning and
multidisciplinary team approach, such complex cases can be managed successfully.
Description
Keywords
Atrial septal defect, Congenital cystic adenomatoid malformation, Congenital pulmonary airway malformation, One‑lung ventilation, Pulmonary hypertension
Citation
Chiluveru Swapna A, Dave Nandini M, Dias Raylene J, Garasia Madhu B. Congenital pulmonary airway malformation with atrial septal defect and pulmonary hypertension for lobectomy‑anesthetic considerations. Annals of Cardiac Anaesthesia. 2016 Apr; 19(2): 372-374.