Hybrid congenital lung malformation as a cause of heart failure in a newborn
Background. Congenital lung defects are rare developmental anomalies that occur at an early age, are asymptomatic in most cases, manifesting by recurrent pneumonia, hemoptysis, hemothorax, and pneumothorax in the future. The disease may in exceptional cases manifest itself by the symptoms of heart failure in the neonatal period.Dorofeeva E.I., Filippova E.A., Sugak A.B., Podurovskaya Yu.L., Burov A.A., Bockeria E.L., Nikiforov D.V., Baryshnikova I.Yu., Bychenko V.G., Kasantseva I.A., Mashinets N.V., Gus A.I.
Case report. The paper describes a case of a hybrid lung lesion comprising cystic adenomatoid malformation concurrent and intralobar pulmonary sequestration in a newborn. A lung defect was antenatally detected; its diagnosis was clarified after birth and the treatment policy (a planned surgical intervention) was determined. However, by the end of the first week of life, the baby’s condition became worse due to the signs of heart failure because of massive blood shunting through abnormal vessels of the lung sequestrum. After the patient’s stabilization during medical therapy, surgery (lobectomy and ligation of abnormal vessels) was successfully performed.
Conclusion. Due to the unique features of blood supply, lung sequestrums and hybrid lung lesions can rarely manifest by heart failure in the neonatal period, which requires preoperative intensive care and urgent surgical intervention.
Keywords
cystic adenomatoid lung malformation
pulmonary sequestration
newborn
congestive heart failure
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Received 25.05.2020
Accepted 16.09.2020
About the Authors
Elena I. Dorofeeva, Ph.D., Pediatric Surgeon, Clinical Care Supervisor at the Department of Neonatal Surgery, V.I. Kulakov NMRC for OG&P, Ministry of Health of Russia. Tel.: +7(916)114-21-18. E-mail: dorofey_i@mail.ru. ORCID: 0000-0003-2822-0462. 117997, Russia, Moscow, Ac. Oparin str., 4.Elena A. Filippova, Ph.D., Head of the Department of Ultrasound Diagnostics in Neonatology and Pediatrics, V.I. Kulakov NMRC for OG&P, Ministry of Health of Russia.
Tel.: +7(495)531-44-44. E-mail: fla77@mail.ru. ORCID: 0000-0002-4964-1736. 117997, Russia, Moscow, Ac. Oparin str., 4.
Anna B. Sugak, MD., Ph.D., Head of the Department of ultrasound diagnostics in neonatology and pediatrics, V.I. Kulakov NMRC for OG&P, Ministry of Health of Russia.
Tel.: +7(495)531-44-44. E-mail: sugak08@mail.ru. ORCID: 0000-0003-4509-4154. 117997, Russia, Moscow, Ac. Oparin str., 4.
Yulia L. Podurovskaya, Ph.D., Department of Neonatal Surgery, V.I. Kulakov NMRC for OG&P, Ministry of Health of Russia.
Tel.: +7(495)531-44-44. E-mail: podurovskaya@yandex.ru. ORCID: 0000-0002-9928-6234. 117997, Russia, Moscow, Ac. Oparin str., 4.
Artem A. Burov, Ph.D., Head of clinical work, anesthesiologist-resuscitator of the Department of surgery, reanimation and intensive care of newborns, V.I. Kulakov NMRC
for OG&P, Ministry of Health of Russia. Tel.: +7(495) 531-44-44. E-mail: burovmd@gmail.com. ORCID: 0000-0001-7374-9803. 117997, Russia, Moscow, Ac. Oparin str., 4.
Ekaterina L. Bokeria, Dr.Med.Sci., Head of the 2nd Department of Pathology of Newborn and Preterm Babies, V.I. Kulakov NMRC for OG&P, Ministry of Health of Russia. E-mail: e_bokeriya@oparina4.ru. 117997, Russia, Moscow, Ac. Oparin str., 4.
Denis V. Nikiforov, anesthesiologist at the Department of Neonatal Surgery, V.I. Kulakov NMRC for OG&P, Ministry of Health of Russia.
Tel.: +7(495)531-44-44. E-mail: dennik2009@mail.ru. ORCID: 0000-0002-5183-7164. 117997, Russia, Moscow, Ac. Oparin str., 4.
Irina Yu. Baryshnikova, Ph.D., doctor of ultrasound diagnostics, Department of neonatology and pediatrics, V.I. Kulakov NMRC for OG&P, Ministry of Health of Russia; doctor of ultrasonic diagnostics, researcher, Department of ultrasound diagnostics, A.N. Bakulev National Medical Research Center of Cardiovascular Surgery,
Ministry of Health of Russia. Tel.: +7(495)531-44-44. E-mail: jatropha@mail.ru. ORCID: 0000-0001-9445-836X. 117997, Russia, Moscow, Ac. Oparin str., 4.
Vladimir G. Bychenko, Ph.D., Head of the Department of radiation diagnostics, V.I. Kulakov NMRC for OG&P, Ministry of Health of Russia.
Tel.: +7(495)531-44-44. E-mail: vbychenko@yandex.ru. ORCID: 0000-0002-1459-4124. 117997, Russia, Moscow, Ac. Oparin str., 4.
Irina A. Kazantseva, Ph.D., doctor of the 2nd Department of Pathology of Newborn and Preterm Babies, V.I. Kulakov NMRC for OG&P, Ministry of Health of Russia.
Tel.: +7(495)531-44-44. E-mail: doctor_ia@rambler.ru. ORCID: 0000-0002-3811-3946. 117997, Russia, Moscow, Ac. Oparin str., 4.
Natalya V. Mashinets, Ph.D., Senior Researcher at the Department of Functional Diagnostics, Department of Diagnostic Imaging, V.I. Kulakov NMRC for OG&P,
Ministry of Health of Russia. Tel.: +7(906)795-66-47. E-mail: natashamashinets@yandex.ru. 117997, Russia, Moscow, Ac. Oparin str., 4.
Alexandr I. Gus, MD., Doctor of Medicine, Professor, Head of Department of Ultrasound and Functional Diagnostics, Radiology Division, V.I. Kulakov NMRC for OG&P, Ministry of Health of Russia. Tel.: +7(495)531-44-44. E-mail: a_gus@oparina4.ru. ORCID: 0000-0003-1377-3128. 117997, Russia, Moscow, Ac. Oparin str., 4.
For citation: Dorofeeva E.I., Filippova E.A., Sugak A.B., Podurovskaya Yu.L., Burov A.A., Bockeria E.L., Nikiforov D.V., Baryshnikova I.Yu., Bychenko V.G., Kasantseva I.A., Mashinets N.V., Gus A.I. Hybrid congenital lung malformation as a cause of heart failure in a newborn.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2020; 12: 242-248 (in Russian)
https://dx.doi.org/10.18565/aig.2020.12.242-248
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