Successful Outcome of Severe Unilateral Pulmonary Interstitial Emphysema after Bi-Lobectomy in a Very Low Birthweight Infant | Zendy

J. S. Ahluwalia | Zendy; Janet M. Rennie | Zendy; F C Wells | Zendy

Open Access

Successful Outcome of Severe Unilateral Pulmonary Interstitial Emphysema after Bi-Lobectomy in a Very Low Birthweight Infant

Author(s) -

J. S. Ahluwalia,

Janet M. Rennie,

F C Wells

Publication year - 1996

Publication title -

journal of the royal society of medicine

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.38

H-Index - 81

eISSN - 1758-1095

pISSN - 0141-0768

DOI - 10.1177/014107689608900315

Subject(s) - medicine , pulmonary function testing , surgery , cardiorespiratory fitness , lung , pneumonectomy , pulmonary emphysema , mechanical ventilation , ventilation (architecture) , radiology , anesthesia , mechanical engineering , engineering

Extubation of ventilated infants with severe unilateral pulmonary interstitial emphysema is difficult because the function of normal lung tissue is impaired. Continued positive pressure ventilation worsens hyperinflation on the side with interstitial emphysema, leading to cardiorespiratory compromise. Resection of affected single lobes is well described, but there are no reported cases of multiple lobectomies in very low birthweight infants. We describe a case where resection of both right upper and middle lobes was successful, allowing extubation within a few days of surgery. Computed tomography (CT) of the chest was helpful in making the decision to treat this infant by surgery.

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