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J Thorac Cardiovasc Surg 2011;142:e133-e134
© 2011 The American Association for Thoracic Surgery

Brief Clinical Report

Emergency surgery for macrocystic lymphatic malformation in the lung of a neonate

Mamoru Takahashi, MDa,*, Norihito Okumura, MDa, Kotaro Kameyama, MDa, Kenji Notohara, MDb

a Department of Thoracic Surgery, Kurashiki Central Hospital, Okayama, Japan
b Department of Pathology, Kurashiki Central Hospital, Okayama, Japan

Received for publication February 11, 2011; revisions received April 16, 2011; accepted for publication June 7, 2011.

* Address for reprints: Mamoru Takahashi, MD, Department of Thoracic Surgery, Kurashiki Central Hospital, 1-1-1 Miwa, Kurashiki, Okayama 710-8602, Japan. (Email: mt10947@yahoo.co.jp).

The first 20% of the full text of this article appears below.


   Introduction
 
We report an extremely uncommon case of macrocystic lymphatic malformation found in the lung of a neonate. The patient was a 28-day-old male neonate with a large cystic lesion occupying the entire lower lobe of the left lung and causing cardiopulmonary dysfunction. Cardiopulmonary status improved soon after emergency surgery comprising left lower lobectomy. The patient has remained well without any signs of recurrence for 48 months after the operation.


   Clinical Summary
 
A 28-day-old male neonate was referred to our hospital after acute onset of dyspnea. Symptoms had been developing for 2 days before admission. In terms of birth history, he was delivered by cesarean section at 36 weeks’ gestation as 1 of a set of dichorionic–diamniotic twins. Birth weight was 2580 g. Medical history was otherwise unremarkable. On examination, he had tachycardia, cyanosis, and decreased air entry . . . [Full Text of this Article]






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