Antenatal Diagnosis and Management of Congenital Pulmonary Airway Malformation: A Case Report

TL;DR

This case report describes the successful antenatal diagnosis and management of a rare lung malformation in a fetus, leading to a favorable outcome after timely surgery.

Contribution

The case emphasizes the importance of serial CVR monitoring and antenatal planning for high-risk CPAM.

Findings

Antenatal corticosteroids were administered to a fetus with increasing CPAM volume ratio.

Postnatal imaging confirmed the CPAM location, and surgery was performed successfully on day nine.

Timely surgical intervention led to an uneventful recovery for the infant.

Abstract

Congenital pulmonary airway malformation (CPAM) is a rare developmental lung anomaly that can be identified on prenatal ultrasonography. We report a case of antenatally diagnosed CPAM with a progressively increasing CPAM volume ratio (CVR) on serial foetal imaging. Antenatal corticosteroids were administered, and a male neonate was delivered by elective lower-segment caesarean section at 33 weeks of gestation. Postnatal imaging confirmed CPAM involving the right middle lobe. The infant underwent right middle lobectomy on postnatal day nine with an uneventful postoperative course. This case highlights the importance of serial CVR monitoring, antenatal planning, and timely surgical management in achieving favourable outcomes in high-risk CPAM.

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