Total pneumonectomy as a salvage procedure for pulmonary arteriovenous malformation in a newborn: Report of one case

Ravasse, P; Maragnès, Pascale; Petit, Thierry; Laloum, D

doi:10.1053/jpsu.2003.50057

Cited by 13 publications

(9 citation statements)

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“…Embolization and surgical resection are the principal methods for the treatment of AVM. (53,56,58) The treatment of choice for AVM is conservative lung resection; when the AVM is peripheral, wedge resection is the preferred procedure, whereas large lesions might require lobectomy or pneumonectomy, (53)(54)(55)57,59) embolization being reserved for patients in whom the surgical treatment is contraindicated or for those with multiple lesions. (53,57,58) Embolization yields excellent initial results, and resolution is achieved in 80-100% of cases; however, embolization has a high recurrence rate.…”

Section: Avmmentioning

confidence: 99%

Malformações pulmonares congênitas

2011

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Congenital lung malformations are rare and vary widely in their clinical presentation and severity, depending mostly on the degree of lung involvement and their location in the thoracic cavity. They can manifest at any age and can be the source of significant morbidity and mortality in infants and children. Individuals with congenital lung malformations can present with respiratory symptoms at birth or can remain asymptomatic for long periods. Recently, there has been an increase in the early diagnosis of these malformations, a change that is attributable to the routine use of prenatal ultrasound. The clinical manifestation of these malformations varies from respiratory distress in the immediate postnatal period to an incidental finding on chest X-rays. Early diagnosis and prompt treatment offer the possibility of absolutely normal lung development. The treatment of asymptomatic patients with lung malformations is controversial, because the prognosis of these diseases is unpredictable. The management of these lesions depends on the type of malformation and symptoms. Because of the risk of complications, most authors recommend resection of the lesion at the time of diagnosis. Lobectomy is the procedure of choice and yields excellent long-term results. This article describes the principal congenital lung malformations, their diagnosis, and the controversies regarding treatment.Keywords: Cystic adenomatoid malformation of lung, congenital; Bronchopulmonary sequestration; Pulmonary surgical procedures; Diagnosis. ResumoAs malformações congênitas do pulmão são raras e variam muito na sua forma de apresentação clínica e gravidade, dependendo principalmente do grau de envolvimento pulmonar e de sua localização na cavidade torácica. Elas podem se manifestar em qualquer idade e podem ser fonte de importante morbidade e mortalidade em lactentes e crianças. Os indivíduos com malformações congênitas do pulmão podem apresentar sintomas respiratórios ao nascimento, enquanto outros podem permanecer assintomáticos por longos períodos. Atualmente, com o uso rotineiro da ultrassonografia pré-natal, vem ocorrendo um aumento no diagnóstico mais precoce dessas malformações. A manifestação clínica dessas malformações varia desde uma disfunção respiratória pós-natal imediata a um achado acidental na radiografia de tórax. O diagnóstico precoce e o tratamento imediato oferecem a possibilidade de um desenvolvimento pulmonar absolutamente normal. Quando assintomáticos, a conduta para o tratamento dos pacientes com malformações pulmonares ainda é controversa, uma vez que o prognóstico dessas afecções é imprevisível. O manejo dessas lesões depende do tipo de malformação e de sintomas. Devido ao risco de complicação, a maioria dos autores sugere a ressecção da lesão no momento em que essa é identificada. A lobectomia é o procedimento de escolha, fornecendo excelentes resultados a longo prazo. Este artigo descreve as principais malformações pulmonares congênitas, seu diagnóstico e controvérsias quanto o tratamento. (5) is covered by ...

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Section: Avmmentioning

confidence: 99%

Malformações pulmonares congênitas

2011

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“…Of the 500 cases of pulmonary AVMs recorded in the literature, very few cases are diagnosed in neonates (b30 cases) because most remain asymptomatic [2]. Clinical manifestations shortly after birth may include cyanosis, tachypnea, and an audible bruit over the AVM [1].…”

Section: Discussionmentioning

confidence: 99%

“…Cardiac catheterization should be performed in all patients before definitive treatment to delineate the anatomy of the AVM and to determine if there are multiple (33%-50%) and/or bilateral lesions (8%-20%) present [1,2]. Pulmonary AVMs tend to be located in the lower lobes (60%) [3].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Pulmonary arteriovenous malformation mimicking congenital cystic adenomatoid malformation in a newborn

Bütter

Emran

Al‐Jazaeri

et al. 2006

Journal of Pediatric Surgery

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“…To date, 10 cases of affected newborns have been reported by Allen et al [1] and a series of 17 cases by Ravasse et al [2]. Other authors [3,4] reported single cases of neonatal PAVM treated by coil embolization as Grady et al [5] first did in 1994.…”

Section: Discussionmentioning

confidence: 99%