Long-term outcomes of congenital lung malformations

Semin Pediatr Surg. 2017 Oct;26(5):311-316. doi: 10.1053/j.sempedsurg.2017.09.001. Epub 2017 Sep 9.

Abstract

Congenital lung malformations comprise a group of anatomical abnormalities of the respiratory tree including congenital cystic malformations, bronchopulmonary sequestrations, bronchogenic cyst, bronchial atresia, and congenital lobar emphysema. These anomalies are detected with increasing frequency by pre-natal sonography, but may also present for the first time with symptoms in childhood or later life. When symptomatic, there is little controversy that resection is indicated, which is usually curative. When a lesion is asymptomatic there is greater debate regarding the benefit of resection versus continued observation. This article provides an overview of the spectrum of disorders, the management options available and the long-term outcomes associated with each treatment option.

Keywords: Bronchopulmonary sequestration; Congenital lung malformation; Congenital pulmonary airway malformation; Long-term outcome.

Publication types

  • Review

MeSH terms

  • Bronchopulmonary Sequestration* / complications
  • Bronchopulmonary Sequestration* / diagnosis
  • Bronchopulmonary Sequestration* / therapy
  • Cystic Adenomatoid Malformation of Lung, Congenital* / complications
  • Cystic Adenomatoid Malformation of Lung, Congenital* / diagnosis
  • Cystic Adenomatoid Malformation of Lung, Congenital* / therapy
  • Humans
  • Lung / abnormalities
  • Lung / embryology
  • Lung / physiopathology
  • Pneumonectomy
  • Pulmonary Emphysema / complications
  • Pulmonary Emphysema / congenital*
  • Pulmonary Emphysema / diagnosis
  • Pulmonary Emphysema / therapy
  • Treatment Outcome

Supplementary concepts

  • Congenital lobar emphysema