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An Adult Case of Congenital Pulmonary Airway Malformation Undergoing Right Lower Lobectomy with Preoperative Arterial
Kei Matsubara1, Asuka Aizawa1, Yutaka Hirano1
1Department of Thoracic Surgery, Hiroshima City Hiroshima Citizens Hospital, Hiroshima, Hiroshima, Japan.
Introduction:
Congenital pulmonary airway malformation (CPAM) is a rare developmental anomaly of the fetal tracheobronchial tree. Surgical resection is the primary treatment for CPAM. However, surgery for adult CPAM presents unique challenges due to the potential for severe pleural adhesions, increased risks of excessive blood loss, and prolonged surgical time. This report describes an adult case of CPAM managed with preoperative arterial embolization.
Case Presentation:
A 26-year-old male underwent a right lower lobectomy for CPAM with the aid of preoperative arterial embolization. Due to the prolonged course of CPAM, significant pleural adhesions and feeding arteries from the intercostal and phrenic arteries were anticipated. Preoperative embolization of the feeding arteries was performed to minimize the intraoperative bleeding. This approach allowed safe surgical resection with minimal blood loss and no postoperative complications.
Conclusions:
This case highlights the utility of preoperative arterial embolization in the management of complex CPAM in adults.
