Lung volume reduction surgery for ipsilateral emphysematous bullae after congenital diaphragmatic hernia repair

Autor: Alyssa E. Vaughn, Bailey D. Lyttle, Lauren T. Gallagher, Jason Gien, S Christopher Derderian, Kenneth W. Liechty
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Journal of Pediatric Surgery Case Reports, Vol 89, Iss , Pp 102567- (2023)
Druh dokumentu: article
ISSN: 2213-5766
DOI: 10.1016/j.epsc.2022.102567
Popis: Congenital diaphragmatic hernia (CDH) is characterized by a diaphragmatic defect with herniation of abdominal organs into the thoracic cavity. Outcomes are largely dependent on the degree of pulmonary hypoplasia and pulmonary hypertension, with the most severe cases associated with approximately 50% mortality. Long term pulmonary complications are well known, however, development of lobar emphysema leading to hemodynamic instability is exceedingly rare. We report the case of a patient with severe left-sided CDH who underwent successful diaphragmatic hernia repair but subsequently developed emphysematous bullous disease of the left lung with hemodynamic compromise, requiring emergent lung volume reduction surgery.
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