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Congenital cystic adenomatoid malformation presenting as in-flight systemic air embolisation

¹ Dept of Thoracic Surgery and Histopathology, Royal Brompton Hospital, London, and ² Dept of Respiratory Medicine, Southend University Hospital, Southend, Essex, UK.

CORRESPONDENCE: P. Goldstraw, Dept of Thoracic Surgery, Royal Brompton Hospital, Sydney Street, London SW3 6NP UK, , Fax: 44 2073518560E-mail: p.goldstraw@rbht.nhs.uk

Keywords: Congenital lung disease, stroke, thoracic surgery

Received: November 26, 2006
Accepted May 16, 2007

Congenital cystic adenomatoid malformations (CCAMs) are rarely diagnosed in adulthood. The present case study reports a case of a CCAM presenting as a cerebral air embolus during an international flight.

In the present case, supportive therapy resulted in a full recovery. The patient later underwent elective excision of the pulmonary malformation.

Since the overall mortality of in-flight cerebral air embolisation is high, patients with such asymptomatic cysts should be considered for elective surgery.

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