Congenital lung lesions: Postnatal management and outcome

• Published in: Seminars in pediatric surgery Vol. 24; no. 4; pp. 160 - 167
• Main Authors: Parikh, Dakshesh H., MBBS, MS, FRCS (Peds), MD, Rasiah, Shree Vishna, BM, BS, MRCPCH
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.08.2015
• Subjects: Congenital cystic lung lesions; Humans; Infant, Newborn; Infant, Newborn, Diseases - surgery; Infant, Newborn, Diseases - therapy; Lung Diseases - congenital; Lung Diseases - surgery; Lung Diseases - therapy; Lung hypoplasia; Pediatrics; Postnatal outcome; Pulmonary hypertension; Segmental resection; Surgery; Postnatal outcome; Segmental resection; Lung hypoplasia; Surgery; Pulmonary hypertension; Congenital cystic lung lesions
• ISSN: 1055-8586; 1532-9453
• DOI: 10.1053/j.sempedsurg.2015.01.013

Abstract Antenatal diagnosis of lung lesion has become more accurate resulting in dilemma and controversies of its antenatal and postnatal management. Majority of antenatally diagnosed congenital lung lesions are asymptomatic in the neonatal age group. Large lung lesions cause respiratory compromise and inevitably require urgent investigations and surgery. The congenital lung lesion presenting with hydrops requires careful postnatal management of lung hypoplasia and persistent pulmonary hypertension. Preoperative stabilization with gentle ventilation with permissive hypercapnia and delayed surgery similar to congenital diaphragmatic hernia management has been shown to result in good outcome. The diagnostic investigations and surgical management of the asymptomatic lung lesions remain controversial. Postnatal management and outcome of congenital cystic lung lesions are discussed.