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Background: Congenital pulmonary airway malformation (CPAM) with partial anomalous pulmonary venous connection presenting as episodic retrosternal chest pain on exertion in an adult has not been described.
Case presentation: A 21-year-old female, non-smoker, presented with a 4-year history of sharp, episodic, retrosternal chest pains brought on with exercise. A contrast-enhanced computed tomography (CT) scan showed a grossly overinflated left lower lobe with partial anomalous pulmonary venous drainage into the left hemi-azygos vein. Lobectomy, the recommended treatment of choice, carried out thoracoscopically, was curative with satisfactory mid-term results. Histology confirmed type-II congenital pulmonary airway malformation.
Conclusions: CPAM can present in young adults with unusual symptoms of chest pain on exertion. When suspected a contrast-enhanced CT scan is the gold standard for establishing the diagnosis. An anatomical lung resection is curative with satisfactory medium term results.
Keywords
chest pain, congenital pulmonary airway malformation, CPAM, anomalous pulmonary venous drainage, APVD, VATS
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CURRENT STATUS: Published
View the published article at Journal of Cardiothoracic Surgery.
Version 1
Posted 18 Nov, 2020
No community comments so far
Editorial decision: Major revision
On 06 Mar, 2021
Review #1 received
Received 13 Feb, 2021
Review #2 received
Received 09 Feb, 2021
Review #3 received
Received 06 Feb, 2021
Reviewer #3 agreed
On 26 Jan, 2021
Reviewer #2 agreed
On 24 Jan, 2021
Reviewers invited
Invitations sent on 23 Jan, 2021
Reviewer #1 agreed
On 23 Jan, 2021
Editor assigned
On 10 Nov, 2020
Submission checks complete
On 10 Nov, 2020
Editor invited
On 10 Nov, 2020
First submitted
On 09 Nov, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Cardiothoracic Surgery
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A new preprint design is coming!
We have improved readability, clarity, accessibility, and opportunities for engagement.
See the published version of this preprint at Journal of Cardiothoracic Surgery.
This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Case report
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
View the published article at Journal of Cardiothoracic Surgery.
Version 1
Posted 18 Nov, 2020
No community comments so far
Editorial decision: Major revision
On 06 Mar, 2021
Review #1 received
Received 13 Feb, 2021
Review #2 received
Received 09 Feb, 2021
Review #3 received
Received 06 Feb, 2021
Reviewer #3 agreed
On 26 Jan, 2021
Reviewer #2 agreed
On 24 Jan, 2021
Reviewers invited
Invitations sent on 23 Jan, 2021
Reviewer #1 agreed
On 23 Jan, 2021
Editor assigned
On 10 Nov, 2020
Submission checks complete
On 10 Nov, 2020
Editor invited
On 10 Nov, 2020
First submitted
On 09 Nov, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Cardiothoracic Surgery
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published article at Journal of Cardiothoracic Surgery.
Background: Congenital pulmonary airway malformation (CPAM) with partial anomalous pulmonary venous connection presenting as episodic retrosternal chest pain on exertion in an adult has not been described.
Case presentation: A 21-year-old female, non-smoker, presented with a 4-year history of sharp, episodic, retrosternal chest pains brought on with exercise. A contrast-enhanced computed tomography (CT) scan showed a grossly overinflated left lower lobe with partial anomalous pulmonary venous drainage into the left hemi-azygos vein. Lobectomy, the recommended treatment of choice, carried out thoracoscopically, was curative with satisfactory mid-term results. Histology confirmed type-II congenital pulmonary airway malformation.
Conclusions: CPAM can present in young adults with unusual symptoms of chest pain on exertion. When suspected a contrast-enhanced CT scan is the gold standard for establishing the diagnosis. An anatomical lung resection is curative with satisfactory medium term results.
Figure 1
Figure 2
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