Hybrid congenital lung malformation as a cause of heart failure in a newborn


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Abstract

Background. Congenital lung defects are rare developmental anomalies that occur at an early age, are asymptomatic in most cases, manifesting by recurrent pneumonia, hemoptysis, hemothorax, and pneumothorax in the future. The disease may in exceptional cases manifest itself by the symptoms of heart failure in the neonatal period. Case report. The paper describes a case of a hybrid lung lesion comprising cystic adenomatoid malformation concurrent and intralobar pulmonary sequestration in a newborn. A lung defect was antenatally detected; its diagnosis was clarified after birth and the treatment policy (a planned surgical intervention) was determined. However, by the end of the first week of life, the baby’s condition became worse due to the signs of heart failure because of massive blood shunting through abnormal vessels of the lung sequestrum. After the patient’s stabilization during medical therapy, surgery (lobectomy and ligation of abnormal vessels) was successfully performed. Conclusion. Due to the unique features of blood supply, lung sequestrums and hybrid lung lesions can rarely manifest by heart failure in the neonatal period, which requires preoperative intensive care and urgent surgical intervention.

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About the authors

Elena I. Dorofeeva

Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Ph.D., Pediatric Surgeon, Clinical Care Supervisor at the Department of Neonatal Surgery

Elena A. Filippova

Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: fla77@mail.ru
Ph.D., Head of the Department of Ultrasound Diagnostics in Neonatology and Pediatrics

Anna B. Sugak

Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: sugak08@mail.ru
MD., Ph.D., Head of the Department of ultrasound diagnostics in neonatology and pediatrics

Yulia L. Podurovskaya

Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: podurovskaya@yandex.ru
Ph.D., Department of Neonatal Surgery

Artem A. Burov

Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: burovmd@gmail.com
Ph.D., Head of clinical work, anesthesiologist-resuscitator of the Department of surgery, reanimation and intensive care of newborns

Ekaterina L. Bockeria

Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: e-bockeria@mail.ru
Dr.Med.Sci., Head of the 2nd Department of Pathology of Newborn and Preterm Babies

Denis V. Nikiforov

Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: dennik2009@mail.ru
anesthesiologist at the Department of Neonatal Surgery

Irina Yu. Baryshnikova

Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia; A.N. Bakulev National Medical Research Center of Cardiovascular Surgery, Ministry of Health of Russia

Email: jatropha@mail.ru
Ph.D., doctor of ultrasound diagnostics, Department of neonatology and pediatrics

Vladimir G. Bychenko

Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: vbychenko@yandex.ru
Ph.D., Head of the Department of radiation diagnostics

Irina A. Kasantseva

Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: doctor_ia@rambler.ru
Ph.D., doctor of the 2nd Department of Pathology of Newborn and Preterm Babies

Natalya V. Mashinets

Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: natashamashinets@yandex.ru
Ph.D., Senior Researcher at the Department of Functional Diagnostics, Department of Diagnostic Imaging

Alexandr I. Gus

Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: a_gus@oparina4.ru
MD, Doctor of Medicine, Professor, the Head of Ultrasound and Functional Diagnostics Department, Radiology Division

References

  1. Fuchs J. Congenital lung malformations. In: Parikh D., Rajesh P.B., eds. Tips and tricks in thoracic surgery. London: Springer-Verlag; 2018: 3-16. https:// dx.doi.org/10.1007/978-1-4471-7355-7.
  2. Annunziata F., Bush A., Borgia F., Raimondi F., Montella S., Poeta M. et al. Congenital lung malformations: unresolved issues and unanswered questions. Front. Pediatr. 2019; 7: 239. https://dx.doi.org/10.3389/fped.2019.00239.
  3. Andrade C.F., da Costa Ferreira H.P., Fisher G.B. Congenital lung malformations. J. Bras. Pneumol. 2011; 37(2): 259-71. https://dx.doi.org/10.1590/S1806-37132011000200017.
  4. Stocker J.T. Congenital pulmonary airway malformation: a new name and an expanded classification of congenital cystic adenomatoid malformation of the lung. Hystopathology. 2002; 41(Suppl. 2): 424-30.
  5. Azizkhan R.G., Crombleholme T.M. Congenital cystic lung disease: contemporary antenatal and postnatal management. Pediatr. Surg. Int. 2008; 24(6): 643-57. https://dx.doi.org/10.1007/s00383-008-2139-3.
  6. Corbett H.J., Humphrey G.M. Pulmonary sequestration. Pediatr. Respir. Rev. 2004; 5(1): 59-68. https://dx.doi.org/10.1016/j.prrv.2003.09.009.
  7. Туманова У.Н., Дорофеева Е.И., Подуровская Ю.Л., Щеголев А.И., Дегтярев Д.Н. Секвестрация легкого: классификация, диагностика, лечение. Педиатрия. Журнал им. Г.Н. Сперанского. 2018; 97(2): 163-71. https://dx.doi.org/10.24110/0031-403X-2018-97-2-163-171.
  8. Wei Y., Li F. Pulmonary sequestration: a retrospective analysis of 2625 cases in China. Eur. J. Cardiothorac. Surg. 2011; 40(1): e39-42. https://dx.doi. org/10.1016/j.ejcts.2011.01.080.
  9. Durell J., Lakhoo K. Congenital cystic lesions of the lung. Early Hum. Dev. 2014; 90(2): 935-9. https://dx.doi.org/10.1016/j.earlhumdev.2014.09.014.
  10. Chowdhury M.M., Chakraborty S. Imaging of congenital lung malformations. Semin. Pediatr. Surg. 2015; 24(4): 168-75. https://dx.doi.org/10.1053/j. sempedsurg.2015.02.001.
  11. Rodriguez-Gonzalez M., Segado-Arenas A., Matamala-Morillo M.A. Heart failure in a preterm infant. Case report and echocardiographic clues for the diagnostic approach to pulmonary sequestration. Echocardiography. 2016; 33(8): 1253-7. https://dx.doi.org/10.1111/echo.13260.
  12. Koskas M., Balquet P., Tournier G., Just J., Sardet A. Intralobar pulmonary sequestration manifested by neonatal cardiac insufficiency. Rev. Mal. Respir. 1991; 8(2): 242-5.
  13. Chen H.W., Hsu W.M., Lu F.L., Chen P.C., Jeng S.F., Peng S.S. et al. Management of congenital cystic adenomatoid malformation and bronchopulmonary sequestration in newborns. Pediatr. Neonatol. 2010; 51(3): 172-7. https:// dx.doi.org/10.1016/S1875-9572(10)60032-0.
  14. Ильина Н.А., Мягкова И.Е. Компьютерно-томографическая ангиография как ведущий метод в дифференциальной диагностике редких пороков легких у новорожденных. Регионарное кровообращение и микроциркуляция. 2015; 14(2): 34-40.
  15. Миклашевич И.М., Школьникова М.А., Горбачевский С.В., Шмальц А.А., Грознова О.С., Садыкова Д.И., Яковлева Л.В., Дегтярев Д.Н., Буров А.А., Овсянников Д.Ю., Волков А.В. Современная стратегия терапии легочной гипертензии у детей. Кардиоваскулярная терапия и профилактика. 2018; 17(2): 101-24.

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