Physical Address

304 North Cardinal St.
Dorchester Center, MA 02124

Congenital Pulmonary Cystic Lesions/Lobar Emphysema


Risk

  • Cause of cardiorespiratory compromise

  • 10–15% associated with CHD

Perioperative Risks

  • May develop worsening of cardiorespiratory status

  • Contamination of unaffected lung by infected material from cyst

Worry About

  • Associated congenital anomalies

  • Tension pneumothorax

  • Cardiorespiratory compromise

Overview

Congenital Pulmonary Cystic Lesions (Three Types)

  • Bronchogenic: Abnormal budding and branching of tracheobronchial tree leading to resp distress, pneumonia, and atelectasis

  • Dermoid: Lined with keratinized, squamous epithelium

  • CPAM: Previously known as CCAM; similar to bronchioles but without alveoli, bronchial glands, and cartilage; overdistension because of gas trapping, which leads to resp distress

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