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Congenital pulmonary airway malformation with atrial septal defect and pulmonary hypertension for lobectomy-anesthetic considerations


Department of Pediatric Anaesthesiology, Seth G.S. Medical College and K.E.M. Hospital, Parel, Mumbai, Maharashtra, India

Correspondence Address:
Swapna A Chiluveru
Department of Pediatric Anaesthesiology, Seth G.S. Medical College and K.E.M. Hospital, Parel, Mumbai . 400 012, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9784.179624

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Year : 2016  |  Volume : 19  |  Issue : 2  |  Page : 372-374

 

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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.






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Department of Pediatric Anaesthesiology, Seth G.S. Medical College and K.E.M. Hospital, Parel, Mumbai, Maharashtra, India

Correspondence Address:
Swapna A Chiluveru
Department of Pediatric Anaesthesiology, Seth G.S. Medical College and K.E.M. Hospital, Parel, Mumbai . 400 012, Maharashtra
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9784.179624

Rights and Permissions

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.






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