Uniportal video-assisted thoracoscopic anatomical resection of the right anterior pulmonary segment in a 10-year-old child with congenital pulmonary airway malformation

Congenital pulmonary airway malformation (CPAM) is a very rare phenomenon subject to malignant transformation that requires surgical resection. In an asymptomatic 10-year-old girl, we identified a single cystic and consolidated lesion on computed tomography. This incidental finding was confined to a...

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Published inJournal of cardiothoracic surgery Vol. 18; no. 1; pp. 188 - 6
Main Authors Ahn, Seha, Moon, Youngkyu
Format Journal Article
LanguageEnglish
Published England BioMed Central Ltd 03.06.2023
BioMed Central
BMC
Subjects
Abscesses
Anatomical resection
Anesthesia
Asymptomatic
Case Report
Chest tubes
Computed tomography
CPAM
Cysts
Genetic disorders
Lungs
Ostomy
Patients
Pneumonia
Pneumothorax
Pulmonary arteries
Respiratory tract
Right anterior pulmonary segment
Segments
Surgery
Uniportal VATS
Veins & arteries
Anatomical resection
Right anterior pulmonary segment
CPAM
Uniportal VATS
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Summary:Congenital pulmonary airway malformation (CPAM) is a very rare phenomenon subject to malignant transformation that requires surgical resection. In an asymptomatic 10-year-old girl, we identified a single cystic and consolidated lesion on computed tomography. This incidental finding was confined to anterior segment of lung in right upper lobe (RUL). Uniportal video-assisted thoracoscopic surgery (VATS) served to successfully achieve anterior segmentectomy, without chest tube placement. The surgical specimen confirmed features of CPAM, also showing acute and chronic inflammation with abscess formation. Once the surgical mainstay for such lesions, open lobectomy is now under challenge by thoracoscopic technique, port-reduction methods, and a lung-preserving strategy. Herein, we have shown uniportal VATS anatomical resection of right anterior pulmonary segment to be a viable option for a 10-year-old child with CPAM confined to a single lung segment.
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ISSN:1749-8090
1749-8090
DOI:10.1186/s13019-023-02221-5