Selvaraj Sangeetha, Gn Yingmao, Wong Theodore G, Ali Khan Shariq
Anaesthesiology, Singapore General Hospital, Singapore, SGP.
Cureus. 2024 Feb 20;16(2):e54522. doi: 10.7759/cureus.54522. eCollection 2024 Feb.
Congenital lung agenesis is a rare congenital abnormality associated with an absence or under-development of either one or both lungs, and its presentation in adulthood is even rarer. We describe a 40-year-old female patient with a history of congenital agenesis of the right lung and a high-grade glioma in the frontal region of the brain presenting for craniotomy and excision of the tumor in an MRI suite. Lung protective strategies of ventilation were utilized intraoperatively. The remote location of the MRI suite made access to extra manpower support challenging. The patient was managed uneventfully and discharged stable to the high-dependency unit. Our case describes how congenital lung agenesis poses a unique set of challenges for anaesthetic management, particularly in neurosurgical patients, and provides guidance to a multidisciplinary team approach.
先天性肺不发育是一种罕见的先天性异常，与一侧或双侧肺缺如或发育不全有关，其在成年期的表现更为罕见。我们描述了一名40岁女性患者，有右肺先天性不发育病史，且在脑额叶区域患有高级别胶质瘤，此次因在磁共振成像（MRI）室进行开颅手术和肿瘤切除而就诊。术中采用了肺保护性通气策略。MRI室位置偏远，获得额外人力支持具有挑战性。患者病情平稳，术后被送入高依赖病房。我们的病例描述了先天性肺不发育如何给麻醉管理带来一系列独特挑战，尤其是在神经外科患者中，并为多学科团队协作提供了指导。
