Lung Ultrasound Findings in Congenital Pulmonary Airway Malformation.

Abstract:

BACKGROUND AND OBJECTIVE:Congenital pulmonary airway malformation (CPAM) is a group of rare congenital malformations of the lung and airways. Lung ultrasound (LU) is increasingly used to diagnose neonatal respiratory diseases since it is quick, easy to learn, and radiation-free, but no formal data exist for congenital lung malformations. We aimed to describe LU findings in CPAM neonates needing neonatal intensive care unit (NICU) admission and to compare them with a control population. METHODS:A retrospective review of CPAM cases from three tertiary academic NICUs over 3 years (2014-2016) identified five patients with CPAM who had undergone LU examination. LU was compared with chest radiograms and computed tomography (CT) scans that were used as references. RESULTS:CPAM lesions were easily identified and corresponded well with CT scans; they varied from a single large cystic lesion, multiple hypoechoic lesions, and/or consolidation. The first two LU findings have not been described in other respiratory conditions and were not found in controls. CONCLUSION:We provide the first description of LU findings in neonates with CPAM. LU may be used to confirm antenatally diagnosed CPAM and to suspect CPAM in infants with respiratory distress if cystic lung lesions are revealed. Further studies are necessary to define the place of LU in the management of CPAM.

journal_name

Am J Perinatol

authors

Yousef N,Mokhtari M,Durand P,Raimondi F,Migliaro F,Letourneau A,Tissières P,De Luca D

doi

10.1055/s-0038-1645861

subject

Has Abstract

pub_date

2018-10-01 00:00:00

pages

1222-1227

issue

12

eissn

0735-1631

issn

1098-8785

journal_volume

35

pub_type

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