Navigating the Challenges of Neonatal Type 2 CPAM: A Case Study of Successful Pneumonectomy and Intensive Care

Document Type : Case Report

Authors

1 Department of Pediatrics, Faculty of Medicine, Padjadjaran University Dr. Hasan Sadikin General Hospital Bandung, West Java

2 3. Department of Pediatrics, Faculty of Medicine, Padjadjaran University Dr. Hasan Sadikin General Hospital Bandung, West Java

3 . Department of Pathology Anatomy, Padjadjaran University Dr. Hasan Sadikin General Hospital Bandung, West Java,

4 6. Department of Pediatrics, Medina Hospital, Garut, West Java

10.22038/ijn.2026.87641.2687

Abstract

Background/Objectives: Congenital Pulmonary Airway Malformation (CPAM) is a rare problem in the development the fetal tracheobronchial tree. If it is not treated properly, it can cause serious illness and even death. This report documents and emphasizes the challenges associated with postnatal CPAM diagnosis, the hazards of significant surgical intervention, and the importance of meticulous clinical management to achieve the best possible patient outcomes. Methods: This case report details the condition of a 14-day-old male neonate diagnosed with Type II CPAM, a collapsed area in his left lung, pneumonia, ASD, and VSD. Results: The patient had surgery to remove his left lung on the 19th day after birth (5 days after he came to the hospital). Chest tubes were placed after the operation. Although he had some problems after surgery, he improved little by little and was able to leave the hospital 42 days after the surgery. Conclusions: Early surgery for CPAM that causes symptoms can lead to good results, even if there are serious complications. To achieve the best results, it is important to have a team of different specialists, strong infection control, and long-term check-ups, especially in places with limited resources.

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