PULMONARY AGENESIS
Roentgenographic and Post-mortem Findings in One Patient; Hemodynamic and Angiocardiographic Findings in Another
Harriette Clark M.D.1,
Roland B. Scott M.D.1, and
John B. Johnson M.D.1
1 The Department of Pediatrics and the Cardiovascular Laboratory of Freedmen's Hospital and Howard University College of Medicine.
Two cases of agenesis of the lung, both with anomalies of the urinary tract, have been presented. In 1 patient the diagnosis was made at post-mortem examination at the age of 5 weeks. Associated anomalies in this patient included defect of the interatrial septum, anomalous drainage of the pulmonary vein into the right atrium, and congenital bilateral ureterovesicle obstruction with dilatation of the ureters and kidney pelves. In the second patient, the diagnosis was made at the age of 3 years. A follow-up study 12 years later substantiated the diagnosis and revealed pelvic location of fused kidneys with short ureters bilaterally. In the latter case, the lung anomaly has not resulted in any dysfunction of the heart or pulmonary circulation. There has been some decrease in ventilatory function but not sufficiently severe to result in respiratory symptoms. This patient is living and well at the time of this report.
Submitted on November 22, 1954
