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Am J Perinatol 2018; 35(12): 1222-1227
DOI: 10.1055/s-0038-1645861
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Lung Ultrasound Findings in Congenital Pulmonary Airway Malformation

Nadya Yousef
1   Department of Pediatrics and Neonatal Critical Care, Paris-Sud University Hospitals-APHP, A. Béclère Hospital, Paris, France
2   Department of Pediatrics and Neonatal Intensive Care, Paris-Sud University Hospitals-APHP, Bicêtre Hospital, Paris, France
,
Mostafa Mokhtari
2   Department of Pediatrics and Neonatal Intensive Care, Paris-Sud University Hospitals-APHP, Bicêtre Hospital, Paris, France
,
Philippe Durand
2   Department of Pediatrics and Neonatal Intensive Care, Paris-Sud University Hospitals-APHP, Bicêtre Hospital, Paris, France
,
Francesco Raimondi
3   Division of Neonatology, Department of Translational Medical Sciences, “Federico II” University, Naples, Italy
,
Fiorella Migliaro
3   Division of Neonatology, Department of Translational Medical Sciences, “Federico II” University, Naples, Italy
,
Alexandra Letourneau
4   Department of Gynecology and Obstetrics, Paris-Sud University Hospitals-APHP, A. Béclère Hospital, Paris, France
,
Pierre Tissières
2   Department of Pediatrics and Neonatal Intensive Care, Paris-Sud University Hospitals-APHP, Bicêtre Hospital, Paris, France
,
Daniele De Luca
1   Department of Pediatrics and Neonatal Critical Care, Paris-Sud University Hospitals-APHP, A. Béclère Hospital, Paris, France
5   Physiopathology and Therapeutic Innovation-INSERM U999 Unit, South Paris-Saclay University, Orsay, France
› Author Affiliations
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Publication History

16 October 2017

20 March 2018

Publication Date:
01 May 2018 (online)

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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.

Keywords

congenital pulmonary airway malformation - neonate - lung ultrasound - congenital cystic adenomatoid malformation

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