Hostname: page-component-76fb5796d-25wd4 Total loading time: 0 Render date: 2024-04-27T23:54:22.796Z Has data issue: false hasContentIssue false

A rare case of pulmonary lymphangiectasia associated with CHD

Published online by Cambridge University Press:  17 June 2021

Cláudio Henriques*
Affiliation:
Paediatric Cardiology Department, Paediatric Hospital, Coimbra, Portugal
Ana Lai
Affiliation:
Anatomical Pathology Department, University Hospital, Coimbra, Portugal
Helena Andrade
Affiliation:
Paediatric Cardiology Department, Paediatric Hospital, Coimbra, Portugal
Raquel Pina
Affiliation:
Anatomical Pathology Department, University Hospital, Coimbra, Portugal
António Marinho-da-Silva
Affiliation:
Paediatric Cardiology Department, Paediatric Hospital, Coimbra, Portugal
António Pires
Affiliation:
Paediatric Cardiology Department, Paediatric Hospital, Coimbra, Portugal
*
Author for correspondence: Dr. Cláudio Henriques, Hospital Pediátrico de Coimbra, Avenida Afonso Romão, Coimbra, 3000-602, Portugal. Tel: +351239488700. E-mail: claudiojhenriques@gmail.com

Abstract

CHD may, at times, occur in the framework of other rare pathologies. These, having similar clinical manifestations, present a diagnostic dilemma for the clinician.

The authors present the case of an infant with non-syndromic complete atrioventricular septal defect, whose post-operative period was surprisingly complicated by progressive pulmonary hypertension. Despite intensive care, the infant ultimately died. The diagnosis of unilateral primary pulmonary lymphangiectasia was only possible post mortem.

Type
Brief Report
Copyright
© The Author(s), 2021. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Kliegman, R, Stanton, B, St Geme, J, Schor, N. Nelson Textbook of Pediatrics. 20th edition, Philadelphia, USA: Elsevier, 2016, ISBN: 978-1-4557-7566-8.Google Scholar
Noonan, J, Walters, L, Reeves, J. Congenital pulmonary lymphangiectasis. Am J Dis Child 1970; 120: 314319. doi: 10.1001/archpedi.1970.02100090088006.Google ScholarPubMed
Bellini, C, Boccardo, F, Campisi, C, Bonioli, E. Congenital pulmonary lymphangiectasia, Orphanet J Rare Dis 2006; 1: 43. doi: 10.1186/1750-1172-1-43.CrossRefGoogle ScholarPubMed
Herrmann, J, Irons, M, Mascio, C, et al. Congenital pulmonary lymphangiectasia and early mortality after stage 1 reconstruction procedures. Cardiol Young 2017; 27: 13561360. doi: 10.1017/S1047951117000348.CrossRefGoogle ScholarPubMed
Nogarol, A. Linfangiectasia pulmonar na infância. Revista de Pediatria SOPERJ 2006, 7 (supl 2): 1013.Google Scholar
Barker, P, Esther, C Jr, Fordham, L, Maygarden, S, Funkhouser, W. Primary pulmonary lymphangiectasia in infancy and childhood. Eur Respir J 2004; 24: 413419. doi: 10.1183/09031936.04.00014004.CrossRefGoogle ScholarPubMed
Onis, M, Onyango, A, Borghi, E, Siyam, A, Pinol, A. WHO Child Growth Standards: Length/Height-for-Age, Weight-for-Age, Weight-for-Length, Weight-for-Height and Body Mass Index-for-Age: Methods and Development, WHO Library Cataloguing-in-Publication Data. World Health Organization, 2006, ISBN 92 4 154693 X.Google Scholar
Sant’Anna, C, Nogarol, A, Fátima, M, Leal, G, Madi, K, Alves, L. A 4-year-old child with fever and persistent cough. Breathe 2006; 2: 269272. doi: 10.1183/18106838.0203.269.CrossRefGoogle Scholar
Drossner, D, Kim, D, Maher, K, Mahle, W. Pulmonary vein stenosis: prematurity and associated conditions. Pediatrics 2008; 122: e656e661. doi: 10.1542/peds.2008-0075.CrossRefGoogle ScholarPubMed