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2.1
Congenital Absence of Lung

Presentation

The anomalies are organized by anatomical system and presented in a consistent manner, including details of the clinical presentation, epidemiology, embryology, treatment and prevention for each anomaly. [books.google.com]

His 2D echo revealed no pulmonary hypertension, but associated cardiac anomaly was present. [jacpjournal.org]

Generally, such conditions are brought to notice in the early years of life but the presentation of this condition at the age of 18 years make it even more interesting and unique. [casereports.bmj.com]

Ataxia, dysmetria, and athetotic movements may be present. Motor and mental development are delayed as is expressive speech. Intellectual disability is present in all 4 patients. [disorders.eyes.arizona.edu]

On auscultation, normal vesicular breath sounds were present in right hemi-thorax. Broncho-vesicular breath sounds were present in left supra-clavicular, infra-clavicular and supra-scapular regions. [medresearch.in]

Entire Body System

  • Turkish

    The causes of prolonged transient tachypnea of the newborn: a cross-sectional study in a Turkish maternity hospital. South Eastern Europe Health Sci J. 2013;3(2):152–158. 30. Asenjo M. Imaging in transient tachypnea of the newborn. [aafp.org]

Workup

[…] anorexia (from hepatic congestion) Physical examination loud P2 on auscultation right-sided heave from right ventricular hypertrophy if subsequent right heart failure elevated JVP hepatomegaly S3 heart sound Imaging Echocardiogram usually first step in the workup [medbullets.com]

He was presented with recurrent pneumothorax and hemoptysis, and on thorough workup, he was diagnosed to have an absence of left pulmonary artery with hypoplasia of the left lung and associated right-sided aortic arch. [jacpjournal.org]

Additional workup options are included in Table 3. 8 Enlarge Print Table 3. [aafp.org]

Both pulmonologists and cardiologists should be aware of the pathophysiology of pulmonary arterial hypertension, the workup and the treatment options that are available. [lungindia.com]

Treatment

Treatment Treatment Options: No treatment has been reported. [disorders.eyes.arizona.edu]

It is used in treatment of persistent pulmonary hypertension of the newborn. [bioportfolio.com]

If a similarity can be drawn between cancer treatments and PAH, it can very easily be conceived that combination treatment has an edge over add on treatment. [72] The major disadvantages with combination treatment are cost and risks. [lungindia.com]

Fetal treatment of congenital diaphragmatic hernia Fetal treatment is reserved for a few babies with very severe CDH. Using a tiny fetoscope, a small detachable balloon is placed in the baby's trachea during the mid-second trimester. [mottchildren.org]

The anomalies are organized by anatomical system and presented in a consistent manner, including details of the clinical presentation, epidemiology, embryology, treatment and prevention for each anomaly. [books.google.com]

Prognosis

What is the prognosis for patients managed in the recommended ways? Most patients do well after surgical removal of CALA and long-term prognosis is good. [clinicaladvisor.com]

The right-sided form carries the poorest prognosis due to severity of co-existent anomalies. Antenatal diagnosis using fetal ultrasound and MRI allows early diagnosis. [patient.info]

These two types have a much better prognosis. Are there other birth defects involved? Diaphragmatic hernia may be associated with other birth defects. [chw.org]

[…] hypertension (IPAH) By definition, the cause is unknown Hereditary pulmonary arterial hypertension (HPAH) Mutation in the BMPR-2 gene acts normally to inhibit smooth muscle growth Mnemonic: B locker of M uscle PR oliferation More common in women (9:1) Poor prognosis [medbullets.com]

Counseling Long term prognosis depends on underlying cause and severity of the heart failure. [perinatology.com]

Etiology

Etiologies Etiology Key Points Idiopathic pulmonary arterial hypertension (IPAH) By definition, the cause is unknown Hereditary pulmonary arterial hypertension (HPAH) Mutation in the BMPR-2 gene acts normally to inhibit smooth muscle growth Mnemonic: [medbullets.com]

Further research on the etiology, such as the status of gene mutation or loss of heterozygosity, is warranted in the future. © American Society for Clinical Pathology Related articles in PubMed [academic.oup.com]

[…] at any level embryonic: from conception ~5 th week pseudoglandular: from ~5 th -17 th week canalicular: from ~16 th - 24 th week: this stage may be more affected by oligohydramnios terminal sac or alveolar period: from 24 th week to term and beyond Etiology [radiopaedia.org]

Infectious/post-infectious processes Mac-Leod-Swyer-James-Syndrom Drug Reactions Occupational Lung Diseases and Pneumoconioses Radiation Lung Injury Toxic inhalation B3 DPLD-in the immunocompromised host or transplanted Diffuse lung damage of unknown etiology [kids-lung-register.eu]

[…] the pulmonary vasculature sarcoidosis histocytosis X lymphangiomatosis compression of pulmonary vessels (adenopathy, tumor, fibrosing mediastinitis) Types acute pulmonary hypertension chronic pulmonary hypertension Grading system Heath-Edwards system Etiology [humpath.com]

Epidemiology

The anomalies are organized by anatomical system and presented in a consistent manner, including details of the clinical presentation, epidemiology, embryology, treatment and prevention for each anomaly. [books.google.com]

Pulmonary agenesis may be compatible with normal life provided co-existent malformations are thoroughly investigated and managed. [ 1 ] Epidemiology Primary isolated bilateral pulmonary hypoplasia is rare and familial occurrence exceptional. [ 2 ] Pulmonary [patient.info]

Clinical, genetic and epidemiological comparison of the naturally occurring condition with that caused by thalidomide. J Bone Joint Surg 1980;62-B:307–320. Ring PA: Congenital short femur-simple femoral hypoplasia. J Bone Joint Surg 1959;41-B:73–79. [karger.com]

Introduction Clinical definition mean pulmonary artery pressure ≥ 20 mmHg normal = 8-20 mmHg gold standard for measurement is right heart catheterization Epidemiology incidence varies by etiology; affects all ages, races, and genders can be very rare [medbullets.com]

Pathophysiology

Abnormalities of fetal lung fluid and lung fluid pressure : the underlying pathophysiology which results in abnormal lung fluid pressure and subsequent pulmonary hypoplasia is unclear. [patient.info]

PubMed Google Scholar Glick PL, Siebert JR, Benjamin DR: Pathophysiology of congenital diaphragmatic hernia: I. [ojrd.biomedcentral.com]

Significant advances have been made in this field in the last decade both in the understanding of the pathophysiology and the treatment of PH. [lungindia.com]

It results from retained fluid and incompletely expanded alveoli from a precipitous vaginal delivery, as pathophysiologic mechanisms have not had sufficient time to adjust to extrauterine life. [aafp.org]

Prevention

The anomalies are organized by anatomical system and presented in a consistent manner, including details of the clinical presentation, epidemiology, embryology, treatment and prevention for each anomaly. [books.google.com]

Since the fetal lung normally produces fluid, the balloon prevents this fluid from escaping the lungs. In turn, the gentle pressure from the fluid build-up causes the small lung to expand and grow. [mottchildren.org]

Oral feedings are withheld if the respiratory rate exceeds 60 respirations per minute to prevent aspiration. [aafp.org]

An early diagnosis and treatment can prevent serious complications. Financial support and sponsorship Nil. Conflicts of interest There are no conflicts of interest. References 1. Cucci CE, Doyle EF, Lewis EW Jr. [jacpjournal.org]

This will help prevent possible hospitalizations and overall worsening of pulmonary hypertension. The long-term prognosis for pulmonary hypertension depends on its course, the severity of the disease at the time of diagnosis and response to therapy. [cincinnatichildrens.org]

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2.1
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