Video-assisted thoracoscopic lobectomy for congenital cystic adenomatoid malformations

摘要

Aim The aim was to show rare cases of congenital cystic adenomatoidmalformation (CCAM) and the manner of its surgicaltreatment with video-assisted thoracoscopic surgery (VATS).Methods Two male and one female child, 7, 4 and 3 years of agewere treated for symptoms of cough and high temperature in districthospitals. In all three children laboratory blood tests and chestradiography were done. Auscultatory findings showed the presenceof pneumonia. Children were treated with appropriate doses ofantibiotics. After the rehabilitation of inflammation, they were sentto the University Clinical Center Sarajevo, where video-assistedthoracoscopic lobectomy (VATS) was indicated after computerizedtomography (CT).Results Chest CT scan pointed to the CCAM and pulmonarysequestration (PS) changes to the lungs. This has required surgerylobectomy of an affected part of the lungs. In two children withPS, the aberrant systemic artery came from the most proximal partof aorta abdominals, the third patient did not have an anomalousartery.Conclusion VATS lobectomy is an alternative to the traditionalthoracotomy for the treatment of CCAM and PS, however, it shouldbe investigated in the future for its safety and effectiveness