Walker Plummer is from Gilbert, WV. He is the son of Katlyn Plummer. He was diagnosed before he was born with Congenital Pulmonary Airway Malformation and Congenital Lobar Emphysema. He was born on March 17, 2020 at Ohio State University Wexner Center in kColumbus, Ohio. He was transported to Nationwide Childrens Hospital NICU. He is currently 9 weeks old and had surgery on Friday, May 15, 2020. The surgeon at Nationwide Childrens Hospital performed a lobectomy. The doctor removed all of the upper right lobe of the lung. The doctors were hoping this surgery be done at 6 months old not 8 weeks old. However, Walker's heart was displaced and shifted as far left as it could go into his trachea. It was displaced due to the CPAM and CLE. This was causing distress on his heart, arteries, and trachea. The trachea was beginning to close off his airway. Which was causing him to struggle with his breathing, he was sleeping a lot, and not eating good. Walker's surgeon admitted him on Tuesday, May 12, 2020 and his mother was told on Friday, May 15, 2020 that he would have emergency surgery that day to remove the majority of his right lung. Walkers lung has collapsed 4 times since the surgery. He has a lot of fluid coming out of his chest tube and he has air leaking out of his lung. He is facing another surgery on Tuesday to reseal the lung and to replace his chest tube with a stronger tube. Walker is in battle and has a long recovery a head of him. The congenital lobar emphysema is a rare disease and is an uncommon congenital anomaly, occurring in 1/20,000-30,000 deliveries. Despite the prevalence of current ultrasonographic prenatal imaging, the majority of cases are diagnosed postnatally. The prevalence of this anomaly during pregnancy is unknown. The most common presentation is in the neonatal period, with a diagnosis at birth occurring in approximately 25% and a diagnosis by 1 month of age in approximately 50% of cases. The diagnosis of CLE is sporadic and rare after the age of 6 months. Congenital pulmonary airway malformation (CPAM), previously known as congenital cystic adenomatoid malformation is a congenital disorder of the lung similar to bronchopulmonary sequestration. In CPAM, usually an entire lobe of lung is replaced by a non-working cystic piece of abnormal lung tissue. This abnormal tissue will never function as normal lung tissue. The underlying cause for CPAM is not known. It occurs in approximately 1 in every 30000 pregnancies. The association between CPAM and malignancy has been well documented. There is a small risk (0.7%) of malignant transformation within the cyst/mass. So early diagnosis and surgical resection is important to prevent the grave complications. Herein, studies show two interesting cases of CPAM and one belonged to Type II and other belonged to Type III of Stocker's classification. Congenital pulmonary airway malformation (CPAM) is rare condition with a reported incidence of 1:25000 to 1:35000. About 15%-50% of cases of congenital cystic lung disease are reported to be CPAM. His mother is a former nationwide Childrens Hospital rheumatology patient. She has spend the last 4 years here with her own health issues and was released from Nationwide as a patient in July 2019. She is now a rheumatology patient at Ohio State University. She and her mother have spent a lot of nights over the years at the Ronald McDonald House here in Columbus, Ohio. The Ronald McDonald has been a blessing to their family.
