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Case Reports
. 1990 Oct 20;336(8721):965-7.
doi: 10.1016/0140-6736(90)92420-m.

Antenatal intervention for congenital cystic adenomatoid malformation

M R Harrison  1 , N S Adzick, R W Jennings, B W Duncan, M A Rosen, R A Filly, J D Goldberg, A A deLorimier, M S Golbus
Affiliations
Case Reports

Antenatal intervention for congenital cystic adenomatoid malformation

M R Harrison et al. Lancet. .

Abstract

In 2 fetuses with congenital cystic adenomatoid malformation (CCAM) with hydrops, in-utero resection of the enlarged pulmonary lobe reduced mediastinal shift and allowed expansion of normal lung tissue in both cases. In case 1, the 27-week-gestation fetus died from severe hydrops after premature delivery. In case 2, fetal CCAM resection was completed at 23 weeks' gestation. At 30 weeks a girl was delivered with no evidence of pulmonary hypoplasia. Fetal surgery can now be entertained for otherwise fatal space-occupying intrathoracic lesions.

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