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Congenital lobar emphysema

A E Urban, J Stark, D J Waterston

    Thoraxchirurgie, Vaskulare Chirurgie
    |June 1, 1975
    PubMed

    Insights

    Congenital lobar emphysema surgery in infants showed significant challenges. Over half of the 43 patients had other congenital anomalies, and 7 children died post-operation.

    Area of Science:

    • Pediatric Surgery
    • Thoracic Surgery
    • Congenital Disorders

    Background:

    • Congenital lobar emphysema (CLE) is a rare respiratory condition in infants.
    • Surgical intervention is the primary treatment for CLE.
    • The management of CLE, especially with associated anomalies, presents unique pediatric surgical challenges.

    Purpose of the Study:

    • To review surgical outcomes for congenital lobar emphysema.
    • To analyze the impact of associated congenital anomalies on surgical results.
    • To evaluate the historical surgical treatment of CLE in a pediatric population.

    Main Methods:

    • Retrospective case series analysis.
    • Review of surgical records for 43 patients with CLE.
    • Data collection on patient demographics, surgical procedures, and outcomes.

    Main Results:

    • 43 infants with congenital lobar emphysema underwent surgery.
    • Nearly 50% of patients presented with additional congenital anomalies.
    • Postoperative mortality was observed in 7 children.

    Conclusions:

    • Surgical treatment for congenital lobar emphysema carries significant risks, particularly in infants with comorbidities.
    • Associated congenital anomalies appear to be common and may influence surgical outcomes.
    • This historical series highlights the complexities and challenges in managing pediatric congenital lobar emphysema.

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