Congenital cystic adenomatoid malformations (CCAMs) is a pulmonary disorder that is seen when a baby’s lung tissue grows more than normal. The CCAMs may me single or more than one. These develop into cysts that are filled with fluid or are seen as solid masses in the lungs.
They are congenital and seen from birth. They are sometimes termed as congenital pulmonary airway malformations or CPAMs. CCAMs prevent the air sacs in the lungs from developing normally. They are usually seen only in one lobe of the lung.
Children suffering from Congenital cystic adenomatoid malformations exhibit these types of symptoms:
Problems in breathing
Frequent infections of the chest that don’t recover as quickly as expected by doctors.
Shortness of breath
Pain while breathing
Trouble putting on weight as a baby
Treatment is performed to assist with complications related to respiratory failure. Preterm delivery is avoided to prevent complications that are related to prematurity. After birth, the child is put on medication to treat infections, and on mechanical ventilation to treat problems associated with respiratory failure. Embolization is performed in the cases of pulmonary sequestration and arteriovenous malformation.
Most of the surgical procedures are approached through the space between the ribs, through a procedure called thoracotomy. In cases when a thoracoscopy is performed, it is not possible to collapse the lung using a double-lumen bifurcated endotracheal tube. For this reason, carbon dioxide is introduced into the depressed lung. Also, bronchial catheters are also used to pass through the endotracheal tube to block the bronchi.
In cases of pulmonary hypoplasia, if diagnosed antenatally and signs of incompatibility are noticed out of the uterus, intervention inside the uterus can also be suggested. The procedure involves the use of a balloon clip to clamp onto the fetal trachea. Post-delivery the same has been tried to be accomplished when the patient is being delivered membrane oxygenation to the lung. Following this, a perfluorocarbon for liquid ventilation under pressure is instilled to increase lung growth and development. Repeated amnioinfusions have been helpful in treating cases of oligohydramnios. Thoracoplasty and median sternotomy have also been performed to enlarge the thorax in the cases of lung hypoplasia.
Billroth hospitals which are a National Accreditation board for hospitals (NABH) certified, aims at providing standard health care with its world-class facilities and infrastructure. Our state of the art equipped technology and well-qualified doctors and nurse practitioners contribute to the success of the institution by providing maximum care and support to the patients. We are located at Shenoy Nagar and R.A.Puram in Chennai, India. We have doctors that specialize in Varicocele of theDepartment of Surgery