Nasir Iqbal, Ahmad Shahbaz, Aasim Malik, Waz Anjum M Nawaz.
Congenital cystic lesions of the lungs in children.
J Cardiovascular Dis Jan ;1(1-2):53-6.

Background: Congenital cystic lesions of the lung are uncommon but share similar embryologic and clinical characteristics. The purpose of this study is to review experience of congenital cystic lung disease at a tertiary children’s hospital. Patients: From 1999-2000, 10 patients (6 males and 4 females) under 5 years underwent evaluation and surgical treatment for congenital cystic lung disease. Four patients were under 1 year of age, and six were over 1 year of age. There were 6 bronchogenic pulmonary cysts, 2 congenital cystic adenomatoid malformations (CCAM) and 2 congenital lobar emphysemas. Results: All patients under 1 year of age showed respiratory distress with mediastinal shift but no episodes of infection. In contrast, 3 of the 6 patients over 1 year of age had symptoms of recurrent chest infection. Lobectomy was performed in 4 patients and excision of the cyst in 6 patients. There was no postoperative mortality or morbidity. 8 patients at short-term follow-up from 2 months to 10 months after surgery are doing well with no subsequent limitation of physical activities due to lung resection. Conclusions: In patients under 1 year of age, cystic lesions were noticed by respiratory distress; and in patients over 1 year of age signs of infection were predominant. Early diagnosis of these rare congenital cystic lung lesions would lead to the immediate, proper surgical treatment.

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