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[Lobar emphysema]
Insights
This study highlights congenital lobar emphysema, a rare lung condition in infants. Early diagnosis and surgical intervention, like lobectomy, are crucial for improving outcomes in affected newborns.
Area of Science:
- Pediatric Pulmonology
- Thoracic Surgery
- Neonatal Medicine
Background:
- Congenital lobar emphysema (CLE) is a rare congenital lung malformation.
- It often presents with respiratory distress in early infancy.
- Affected lobes typically include the left upper and right middle lobes.
Abstract:
The lobes most commonly affected are the left upper and the right middle lobes. The classical sign of respiratory distress is mainly found within the first two months of life. In 14 infants the diagnosis was confirmed by microscopic examination, 13 were treated by surgery and 4 infants, who had associated serious malformations or complications, died. In most cases hypoplastic bronchial cartilage of the concerned bronchi was seen, in some cases a stenosis of the lobar bronchi. It is of great importance to establish the diagnosis as soon as possible. The lobectomy is recommended if the respiratory or cardial failure is worsening despite artificial ventilation.