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Congenital pulmonary airway malformation with atrial septal defect and pulmonary hypertension for lobectomy-anesthetic considerations

The association of congenital pulmonary airway malformation (CPAM) with congenital heart disease is rare. We present the case of a 6-month-old child with atrial septal defect and pulmonary hypertension (PH) who presented with severe respiratory distress and hypoxia. The patient underwent right lobec...

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Bibliographic Details
Published in:Annals of cardiac anaesthesia 2016-04, Vol.19 (2), p.372-374
Main Authors: Chiluveru, Swapna, Dave, Nandini, Dias, Raylene, Garasia, Madhu
Format: Article
Language:English
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Summary:The association of congenital pulmonary airway malformation (CPAM) with congenital heart disease is rare. We present the case of a 6-month-old child with atrial septal defect and pulmonary hypertension (PH) who presented with severe respiratory distress and hypoxia. The patient underwent right lobectomy for CPAM. With timely management, real-time monitoring, one lung ventilation, and adequate analgesia, we were able to extubate the child in the immediate postoperative period. We conclude that with meticulous planning and multidisciplinary team approach, such complex cases can be managed successfully.
ISSN:0971-9784
0974-5181
DOI:10.4103/0971-9784.179624