A quantitative study is here reported on the lungs of a child of 9 months with unilateral emphysema associated with hypoplasia, and with compensatory emphysema in the contralateral lung. The left lung was judged to show congenital hypoplasia because of the reduced number of bronchi and arteries, its small volume, and a total alveolar number less than that normally found at birth. This last was ...

Continuous positive airway pressure in congenital lobar emphysema Congenital lobar emphysema with air trapping distal to defective bronchial cartilage is an unusual cause of respiratory distress in early infancy.' Prompt treatment, usually lobectomy, may be necessary to maintain ventilation. Until recently medical management had little to offer; indeed, mortality was likely to be increased by t...

Objective: To discuss the clinical features of congenital cystic lung lesions (CCLL) in newborns. Method: From January 2008 to June 2014, 28 newborns treated at Department of Neonatology, Guangzhou Women and Children’s Medical Center for CCLL, were retrospectively analyzed. The baseline information, clinical manifestations, imaging findings, diagnosis, treatment and prognosis were analyzed with...

A retrospective study was made of 9 patients with congenital lobar emphysema who presented over the past 13 years. The ages of the patients at diagnosis ranged from 2 weeks to 10 years. The earlier the presentation, the more severe were the symptoms. Two patients were misdiagnosed initially at the referring hospitals with near disastrous results. Pitfalls in diagnosis are outlined and the vario...

BODY: A 2-month old, 4.1-kg baby girl was scheduled for right thoracotomy and lobectomy for congenital lobar emphysema. On preoperative physical exam, she was noted to be awake and tachypneic but not cyanotic. Her vital signs showed a blood pressure of 88/50, pulse rate of 110, respiratory rate of 58 with an oxygen saturation of 95% on 1 liter per minute of oxygen via nasal cannula. There was a...

BACKGROUND Lung volume reduction surgery has been recommended for patients with upper lobe predominant emphysema and was associated with less favorable outcomes in patients with non-upper lobe predominant emphysema. The value of endobronchial valve (EBV) treatment in lower lobe predominant emphysema has not been studied. OBJECTIVES To confirm the equivalence of upper and lower lobe valve trea...