Skip to main content
SpringerLink
Log in

Congenital Lung Malformations

  • Chapter
  • First Online:
Tips and Tricks in Thoracic Surgery

  • 1079 Accesses

Abstract

Congenital lung lesions are mostly diagnosed by a routine antenatal ultrasound scanning. Many remain asymptomatic immediately after birth but are likely to present later in life with symptoms of pneumonic infection or a persistent lesion in adults can be confused with malignancy. Controversy amongst the surgeons is to resect these asymptomatic lesions electively or to resect only if presented with infection on follow-up. With the advent of thoracoscopic resections and reduced morbidity with minimally invasive resections, elective resection has become more attractive. There is definitely increased morbidity once the lesion becomes infected with need for blood transfusion, wider resection, post-operative air leaks and risk of conversion to open thoracotomy. The subspecialization in Pediatric thoracic surgery may improve overall outcome of this and many other Pediatric thoracic surgical conditions.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Adzick NS. Management of fetal lung lesions. Clin Perinatol. 2003;30(3):481–92.

    Article  PubMed  Google Scholar 

  2. Azizkhan RG, Crombleholme TM. Congenital cystic lung disease: contemporary antenatal and postnatal management. Pediatr Surg Int. 2008;24(6):643–57.

    Article  PubMed  Google Scholar 

  3. Baird R, Puligandla PS, Laberge JM. Congenital lung malformations: informing best practice. Semin Pediatr Surg. 2014;23(5):270–7.

    Article  PubMed  Google Scholar 

  4. Aspirot A, Puligandla PS, Bouchard S, Su W, Flageole H, Laberge JM. A contemporary evaluation of surgical outcome in neonates and infants undergoing lung resection. J Pediatr Surg. 2008;43(3):508–12.

    Article  PubMed  Google Scholar 

  5. Nazir Z, Qazi SH, Ahmed N, Atiq M, Billoo AG. Pulmonary agenesis—vascular airway compression and gastroesophageal reflux influence outcome. J Pediatr Surg. 2006;41(6):1165–9.

    Article  PubMed  Google Scholar 

  6. Page DV, Stocker JT. Anomalies associated with pulmonary hypoplasia. Am Rev Respir Dis. 1982;125(2):216–21.

    PubMed  CAS  Google Scholar 

  7. Backer CL, Kelle AM, Mavroudis C, Rigsby CK, Kaushal S, Holinger LD. Tracheal reconstruction in children with unilateral lung agenesis or severe hypoplasia. Ann Thorac Surg. 2009;88(2):624–30.

    Article  PubMed  Google Scholar 

  8. Berrocal T, Madrid C, Novo S, Gutierrez J, Arjonilla A, Gomez-Leon N. Congenital anomalies of the tracheobronchial tree, lung, and mediastinum: embryology, radiology, and pathology. Radiographics. 2004;24(1):e17.

    Article  PubMed  Google Scholar 

  9. Lal R, Lama TK, Bhatnagar V. Congenital lung cyst. Eur J Pediatr Surg. 1999;9(5):334–6.

    Article  CAS  PubMed  Google Scholar 

  10. Mattioli G, Buffa P, Granata C, et al. Lung resection in pediatric patients. Pediatr Surg Int. 1998;13(1):10–3.

    Article  CAS  PubMed  Google Scholar 

  11. Rothenberg SS. Thoracoscopic lung resection in children. J Pediatr Surg. 2000;35(2):271–4.

    Article  CAS  PubMed  Google Scholar 

  12. Tsao K, Hawgood S, Vu L, et al. Resolution of hydrops fetalis in congenital cystic adenomatoid malformation after prenatal steroid therapy. J Pediatr Surg. 2003;38(3):508–10.

    Article  PubMed  Google Scholar 

  13. Libretti L, Ciriaco P, Casiraghi M, Arrigoni G, Zannini P. Pleuropulmonary blastoma in the area of a diagnosed congenital lung cyst. Ann Thorac Surg. 2008;85(2):658–60.

    Article  PubMed  Google Scholar 

  14. Priest JR, Williams GM, Hill DA, Dehner LP, Jaffe A. Pulmonary cysts in early childhood and the risk of malignancy. Pediatr Pulmonol. 2009;44(1):14–30.

    Article  PubMed  Google Scholar 

  15. Puligandla PS, Laberge JM. Congenital lung lesions. Clin Perinatol. 2012;39(2):331–47.

    Article  PubMed  Google Scholar 

  16. Laberge JM, Puligandla P, Flageole H. Asymptomatic congenital lung malformations. Semin Pediatr Surg. 2005;14(1):16–33.

    Article  PubMed  Google Scholar 

  17. Beres A, Aspirot A, Paris C, et al. A contemporary evaluation of pulmonary function in children undergoing lung resection in infancy. J Pediatr Surg. 2011;46(5):829–32.

    Article  PubMed  Google Scholar 

  18. Azizkhan RG, Grimmer DL, Askin FB, Lacey SR, Merten DF, Wood RE. Acquired lobar emphysema (overinflation): clinical and pathological evaluation of infants requiring lobectomy. J Pediatr Surg. 1992;27(8):1145–51.

    Article  CAS  PubMed  Google Scholar 

  19. Cataneo DC, Rodrigues OR, Hasimoto EN, Schmidt AF Jr, Cataneo AJ. Congenital lobar emphysema: 30-year case series in two university hospitals. J Bras Pneumol. 2013;39(4):418–26.

    Article  PubMed  PubMed Central  Google Scholar 

  20. Alivizatos P, Cheatle T, de Leval M, Stark J. Pulmonary sequestration complicated by anomalies of pulmonary venous return. J Pediatr Surg. 1985;20(1):76–9.

    Article  CAS  PubMed  Google Scholar 

  21. Adzick NS, Harrison MR, Crombleholme TM, Flake AW, Howell LJ. Fetal lung lesions: management and outcome. Am J Obstet Gynecol. 1998;179(4):884–9.

    Article  CAS  PubMed  Google Scholar 

  22. Saeed A, Kazmierski M, Khan A, McShane D, Gomez A, Aslam A. Congenital lung lesions: preoperative three-dimensional reconstructed CT scan as the definitive investigation and surgical management. Eur J Pediatr Surg. 2013;23(1):53–6.

    Article  PubMed  Google Scholar 

  23. Vaos G, Zavras N, Antypas G. Bronchogenic cyst of the lung mimicking a pulmonary hydatid cyst in a child. Pediatr Surg Int. 2005;21(5):383–5.

    Article  PubMed  Google Scholar 

  24. Rothenberg SS. Thoracoscopic pulmonary surgery. Semin Pediatr Surg. 2007;16(4):231–7.

    Article  PubMed  Google Scholar 

  25. Rothenberg SS, Shipman K, Kay S, et al. Thoracoscopic segmentectomy for congenital and acquired pulmonary disease: a case for lung-sparing surgery. J Laparoendosc Adv Surg Tech A. 2014;24(1):50–4.

    Article  PubMed  Google Scholar 

  26. Vu LT, Farmer DL, Nobuhara KK, Miniati D, Lee H. Thoracoscopic versus open resection for congenital cystic adenomatoid malformations of the lung. J Pediatr Surg. 2008;43(1):35–9.

    Article  PubMed  Google Scholar 

  27. Bishay M, Giacomello L, Retrosi G, et al. Hypercapnia and acidosis during open and thoracoscopic repair of congenital diaphragmatic hernia and esophageal atresia: results of a pilot randomized controlled trial. Ann Surg. 2013;258(6):895–900.

    Article  PubMed  Google Scholar 

  28. Dingemann C, Zoeller C, Bataineh Z, Osthaus A, Suempelmann R, Ure B. Single- and double-lung ventilation in infants and children undergoing thoracoscopic lung resection. Eur J Pediatr Surg. 2013;23(1):48–52.

    PubMed  Google Scholar 

  29. Rothenberg SS. First decade’s experience with thoracoscopic lobectomy in infants and children. J Pediatr Surg. 2008;43(1):40–4.

    Article  PubMed  Google Scholar 

  30. Rothenberg SS, Middlesworth W, Kadennhe-Chiweshe A, et al. Two decades of experience with thoracoscopic lobectomy in infants and children: standardizing techniques for advanced thoracoscopic surgery. J Laparoendosc Adv Surg Tech A. 2015;25(5):423–8.

    Article  PubMed  Google Scholar 

  31. Albanese CT, Sydorak RM, Tsao K, Lee H. Thoracoscopic lobectomy for prenatally diagnosed lung lesions. J Pediatr Surg. 2003;38(4):553–5.

    Article  PubMed  Google Scholar 

  32. Seitz G, Warmann SW, Szavay PO, et al. Thoracoscopic lobectomy as a treatment option for persistent middle lobe syndrome in children. Pediatr Int. 2010;52(2):e79–81.

    Article  PubMed  Google Scholar 

  33. Fuchs J, Kirschner HJ, Warmann SW, Schellinger K, Baden W, Szavay P. Thoracoscopic anatomical lung resection in children. Zentralbl Chir. 2007;132(3):247–50.

    Article  CAS  PubMed  Google Scholar 

  34. Johnson SM, Grace N, Edwards MJ, Woo R, Puapong D. Thoracoscopic segmentectomy for treatment of congenital lung malformations. J Pediatr Surg. 2011;46(12):2265–9.

    Article  PubMed  Google Scholar 

  35. Kunisaki SM, Powelson IA, Haydar B, et al. Thoracoscopic vs open lobectomy in infants and young children with congenital lung malformations. J Am Coll Surg. 2014;218(2):261–70.

    Article  PubMed  Google Scholar 

  36. Mattioli G, Asquasciati C, Castagnetti M, Bellodi S, Rossi G, Jasonni V. Muscle-sparing thoracotomy combined with mechanically stapled lung resection for benign lung disorders: functional results and quality of life. Pediatr Surg Int. 2006;22(6):491–5.

    Article  PubMed  Google Scholar 

  37. Adzick NS, Harrison MR, Glick PL, et al. Fetal cystic adenomatoid malformation: prenatal diagnosis and natural history. J Pediatr Surg. 1985;20(5):483–8.

    Article  CAS  PubMed  Google Scholar 

  38. Stocker JT, Madewell JE, Drake RM. Congenital cystic adenomatoid malformation of the lung. Classification and morphologic spectrum. Hum Pathol. 1977;8(2):155–71.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Pediatric Surgery and Pediatric Urology, University of Tuebingen, Tuebingen, Germany

    Jörg Fuchs

Authors
  1. Jörg Fuchs
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Jörg Fuchs .

Editor information

Editors and Affiliations

  1. Department of Pediatric Surgery, Birmingham Women’s and Children’s Hospital NHS Foundation Trust, Birmingham, United Kingdom

    Dakshesh Parikh

  2. Regional Department of Thoracic Surgery, Birmingham Heartlands Hospital, Birmingham, United Kingdom

    Pala B. Rajesh

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer-Verlag London Ltd., part of Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Fuchs, J. (2018). Congenital Lung Malformations. In: Parikh, D., Rajesh, P. (eds) Tips and Tricks in Thoracic Surgery. Springer, London. https://doi.org/10.1007/978-1-4471-7355-7_1

Download citation

  • DOI: https://doi.org/10.1007/978-1-4471-7355-7_1

  • Published:

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-7353-3

  • Online ISBN: 978-1-4471-7355-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation