Congenital cystic adenomatoid malformation presenting as in-flight systemic air embolisation.
Congenital cystic adenomatoid malformations (CCAMs) are rarely diagnosed in adulthood. The present case study reports a case of a CCAM presenting as a cerebral air embolus during an international flight. In the present case, supportive therapy resulted in a full recovery. The patient later underwent elective excision of the pulmonary malformation. Since the overall mortality of in-flight cerebral air embolisation is high, patients with such asymptomatic cysts should be considered for elective surgery.
Belcher
E
E
Department of Thoracic Surgery, Royal Brompton Hospital, London, UK.
Lawson
M H
MH
Nicholson
A G
AG
Davison
A
A
Goldstraw
P
P
D000293:Adolescent; D000388:Air; D000401:Aircraft; D001994:Bronchogenic Cyst / Q000473:pathology; D015615:Cystic Adenomatoid Malformation of Lung, Congenital / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008168:Lung / Q000473:pathology*; D008297:Male; D013902:Radiography, Thoracic / Q000379:methods; D020521:Stroke / Q000175:diagnosis; D013903:Thoracic Surgery; D014057:Tomography, X-Ray Computed / Q000379:methods; D014195:Travel; D016896:Treatment Outcome