Surgical Outcomes for Congenital Lung Malformations: 10 Years Experience at a Single Center
Chananya Karunasumetta MD*, Chusak Kuptarnond MD*, Sompop Prathanee MD*, Worawit Intanoo MD*, Chawalit Wongbuddha MD*
Affiliation : * Division of Cardiothoracic Surgery, Department of Surgery, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand
Objective : To study the surgical outcome of congenital lung malformation and natural history of the disease at Srinagarind
Hospital.
Material and Method: Retrospectively review the medical records of 25 patients diagnosed with congenital lung malformation
who underwent surgical treatment between January 2001 and December 2011.
Results : Twenty-five patients diagnosed with congenital lung malformation underwent surgery: 16 males (64%), 9 females
(36%), median age seven months, median body weight 6 kg. Twelve (48%) had congenital cystic adenomatoid malformation
congenital cystic adenomatoidmaflormation (CCAM), seven (28%) pulmonary sequestration, four (16%) congenital lobar
emphysema, and one a bronchogenic cyst (4%). The most common presenting symptoms were respiratory tract infection
(14, 56%), respiratory distress (7, 28%), lung abscess (1, 4%), hemoptysis (1, 4%), and asymptomatic (2, 8%). Post-operative
mortality over 30 days was 0. Complications included lung infection, atelectasis, post-operative bleeding, and wound
infection. Post-operative follow-up (lasting between 1-8 years) revealed normal tolerance to daily activity without any
respiratory problems.
Conclusion : Surgical treatment for congenital lung malformations had a good result with few complications.
Keywords : Congenital lung malformation, Congenital bronchopulmonary malformation, Surgical outcome, Congenital cystic adenomatoid malformation (CCAM), Congenital pulmonary airway malformation (CPAM), Congenital lobar emphysema, Pulmonary sequestration, Bronchogenic cyst, Post-operative complications
