[A congenital lung cyst in a child with clinical manifestations after a 7-year latent period]. / Urodjena cista pluca kod deteta klinicka pojava posle sedmogodisnjeg latentnog perioda.

Congenital cysts of the lung originate from embryological malformation of the lung bud and usually produce clinical signs in the first months of life by expansion, causing respiratory distress, or by infection through its bronchial communication. We report a rare case of solitary congenital lung cyst in the middle lobe which was diagnosed in the 3rd month of life and remained silent until the 7th year when tension pneumothorax developed from rupture of the rapidly expanding cyst. An urgent lobectomy of the involved lobe was performed. This rare case supports the attitude that every congenital cyst of the lung should be excised as soon as the correct diagnosis is established in order to prevent serious complications.

Lymphangioma of the lung associated with respiratory distress in a neonate.

Congenital pulmonary lymphangioma involving the entire left lower lobe in a newborn is reported. Respiratory distress was the presenting symptom. Radiography was suggestive of congenital diaphragmatic hernia or congenital cysts of the lung.

[The effect of the age of the child at the time of surgery for pectus excavatum on respiratory function and anthropometric parameters of the thorax]. / [Uticaj uzrasta dece u vreme operacije pectus excavatuma na respiratornu funkciju i antropometrijske parametre grudnog kosa.

Respiratory function and anthropometric parameters of the chest were studied in two groups of children aged 15, undergoing pectus excavatum repair before and after the age of 12, respectively. Mean values of static and dynamic functional respiratory parameters were significantly lower in children operated before the age of 12. Sagital diameters of the chest determined at the level of sternal angle and costal arch intersection were significantly shorter in children operated before the age of 12. Restricted respiratory motility of the chest and shorter sagital diameters are very likely caused by the damage of active ossification centers in the sternum of children. The results support the indications for pectus excavatum repair beyond the age of 12.

[Angle of caudal declination of the ribs and its changes in children with pectus excavatum]. / Promena ugla kosine--deklinacije rebara kod dece sa pectus excavatumom.

The study of the angle of caudal declination of the ribs in 19 children aged 5 years, and in 23 children aged 8 years undergoing pectus excavatum repair, established that children with deformity had significantly wider angle compared to children of the same age without chest deformity. The angle of declination was not significantly changed 3 years after the operation. Thus it was concluded that subperichondral excision of the rib cartilage and osteotomy of the sternum led to fixed chest position. These data can explain persistent pulmonary dysfunction of the restrictive type in spite of successful aesthetic correction of the deformity.

[Changes in etiologic factors, anatomic distribution and age in children with bronchiectasis]. / Promene etioloskih faktora, anatomske distribucije i zivotne dobi dece sa bronhiektazijama.

Changing aetiology, anatomic distribution and age of 62 children with bronchiectasis undergoing lobectomy between 1979 and 1987, were analysed. Postpneumonic bronchiectases were found in about 50% of cases during several years of observed 9-years' period. There was significant increase of bronchiectasis due to the documented congenital malformations of the lungs according to the exact diagnosis of intrapulmonary congenital lesions (congenital cystic disease of the lungs, bronchial and vascular abnormalities). Bronchiectases have been diagnosed and surgically treated in very young children lately; mean age at the time of surgery decreased from 7.1 years in 1979. to 5.2 years in 1987.

Congenital pulmonary arteriovenous fistula with haemothorax in a neonate.

Report on a neonate with congenital pulmonary arteriovenous fistula of the left lower lobe. Haemothorax developed after a spontaneous rupture of dilated vessels, requiring an urgent lobectomy. The lobe was composed of numerous cavernous lesions and dilated vessels.