Fetoscopic tracheal balloon occlusion may permit live-saving catch-up growth of the normal lung when it fails to distend and grow after other fetal interventions for giant CCAML
T Kohl, M Meyer-Wittkopf, A Winarno, J Degenhardt, R Axt-Fliedner, R Schürg, T Schaible · Ultraschall in der Medizin - European Journal of Ultrasound · 2013 · Heft 10
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Zusammenfassung
Background: In fetuses with giant CCAML, the effects of severe and long-standing compression of normal lung tissue may be so severe that it will not distend or grow anymore despite succesful volume reduction of the CCAML by other fetal interventions. Case: A human fetus presented with a giant macrocystic CCAML of its left lung with marked cardiac and right lung compression, reduced fetoplacental blood flow and severe polyhydramnion at 26 weeks of gestation. Previous procedures from 21 weeks of gestation onwards in this fetus (cyst aspirations, thoraco-amniotic cyst shunting, Picibanil-instillation) failed in red…