Surgical Outcomes for Congenital Lung Malformations: 10 Years Experience at a Single Center

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