Neonatal transthoracic puncture in a case of congenital cystic adenomatoid malformation of the lung

Transthoracic catheter drainage for large symptomatic congenital pulmonary airway malformation

“…Positive pressure ventilation after birth can also lead to re-expansion of the cyst by compromising ventilation status. 5,17 Interestingly, in this study, a patient (case 6) with large CPAM was asymptomatic at birth. This patient was discharged from the hospital, Analysis of the efficacy of preoperative PTCD in newborn infants with large symptomatic CPAM was limited by the low incidence of the disease and the retrospective nature of the study.…”

“…To the best of our knowledge, there have been only two reports on neonatal cases of macrocystic CPAM that were treated with PTCD. Allegaert et al reported successful subsequent lobectomy following blind placement of percutaneous catheter, but the detailed time frame for each procedure was not mentioned. Margau et al also reported a newborn case with type 1 CPAM, which was drained with fluoroscopically placed 8‐Fr catheter.…”

“…Despite this, a proportion of newborn infants presents with respiratory symptoms and requires intensive care and emergency thoracotomy. Positive pressure ventilation after birth can also lead to re‐expansion of the cyst by compromising ventilation status …”

Percutaneous Thoracic Drainage in Neonates: Catheter Drainage versus Treatment with Aspiration Alone

“…There have been no complications after 6 years of follow-up. There is one reported case of percutaneous drainage of a CCAM as a temporizing measure prior to surgical resection (12). To our knowledge, there are no published cases where percutaneous drainage was used as definitive treatment for this disease.…”

“…Findings have shown the success of percutaneous therapy for the treatment of pediatric pneumothorax (1), esophageal perforation (8), postinfectious necrotizing pneumonia and lung abscess (9), chylothorax (10), and mediastinal seroma (11). A single case report has demonstrated successful transthoracic drainage as a temporizing measure during the treatment of a congenital cystic adenomatoid malformation (CCAM) of the lung (12).…”