PREGNANCY AND CHILDBIRTH IN A PATIENT AFTER LUNG LOBECTOMY FOR A CONGENITAL MALFORMATION
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Abstract
Congenital pulmonary malformations (hamartoma, intrapulmonary sequestration, congenital pulmonary airway malformation) are rarely diagnosed in adult patients; symptomatic cases require surgical treatment in the form of an anatomical resection. Data regarding pregnancy and childbirth in women who have undergone pulmonary lobectomy for a benign malformation are scarce in the literature. Provided that the function of the operated lung remains stable and there are no restrictive ventilatory defects, spontaneous vaginal delivery is feasible for patients following lobectomy for a benign pulmonary malformation and does not necessitate a routine expansion of indications for operative delivery.
This report presents the case of a 37-year-old pregnant woman who had undergone a right lower lobectomy with excision of an intrapulmonary sequestration for a congenital pulmonary malformation in 2021; a follow-up pulmonologist assessment revealed an asymptomatic hamartoma in the upper lobe of the same lung, which was managed conservatively. The pregnancy was complicated by late-onset fetal growth restriction (without impairment of fetoplacental blood flow) and premature rupture of membranes at term with an unripe cervix, requiring pre-induction of labor with mifepristone. Pulmonary function remained within normal limits throughout the pregnancy. Delivery occurred spontaneously via the birth canal, resulting in a live, full-term infant with Apgar scores of 8/9. The postpartum period was uneventful.
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