Two-stage surgical management of horseshoe lung associated with congenital pulmonary airway malformation in a neonate: A case report

• Published in: Journal of neonatal surgery Vol. 12; p. 14
• Main Authors: Polit-Guerrero, Veronica, Andrade-Montesdeoca, Jimmy, Fabre-Parrales, Ernesto, Salinas-Salinas, Vicente, Acosta-Farina, Daniel
• Format: Journal Article
• Language: English
• Published: EL-Med-Pub 21-04-2023
• Subjects: Congenital pulmonary airway malformations; Horseshoe lung; Neonate
• ISSN: 2226-0439; 2226-0439
• DOI: 10.47338/jns.v12.1215

Background: Horseshoe lung is a rare congenital malformation, and even rarer is its association with congenital pulmonary airway malformations.
Case Presentation: We report a case of horseshoe lung associated with congenital pulmonary airway malformation (Stocker type 2) who underwent surgical management in two stages. The patient had a right posterolateral thoracotomy with lower right lobectomy at 14 days of life, followed by a left posterolateral thoracotomy with lower left lobectomy at 7 months of age. He is doing fine after both surgeries and follow-up visits are ongoing.
Conclusion: The treatment of horseshoe lung should be individualized, surgical management is an effective option and the two-stage approach in neonates would reduce the risk of the simultaneous bilateral procedure.