Neonatal outcome after prenatal interventions for congenital lung lesions

Abstract Congenital lung lesions, mostly congenital cystic adenomatoid malformations (CCAMs) and bronchopulmonary sequestrations (BPSs), are uncommon disorders. Prenatal intervention in severely affected (hydropic) fetuses has drastically improved perinatal survival. Not much is known, however, on t...

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Veröffentlicht in:Early human development 2011-09, Vol.87 (9), p.611-618
Hauptverfasser: Witlox, Ruben S, Lopriore, Enrico, Oepkes, Dick, Walther, Frans J
Format: Artikel
Sprache:eng
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Zusammenfassung:Abstract Congenital lung lesions, mostly congenital cystic adenomatoid malformations (CCAMs) and bronchopulmonary sequestrations (BPSs), are uncommon disorders. Prenatal intervention in severely affected (hydropic) fetuses has drastically improved perinatal survival. Not much is known, however, on the short-term and long-term respiratory and neurodevelopmental outcome. Several small case series have been reported and suggest an increased incidence of neonatal morbidity, mainly associated with prematurity and respiratory failure at birth. Overall, neonatal mortality and morbidity after prenatal interventions for CCAM seems to be worse than for BPS. This review focuses on the neonatal outcome after prenatal intervention for congenital lung lesions and summarizes the results reported in the literature.
ISSN:0378-3782
1872-6232
DOI:10.1016/j.earlhumdev.2011.07.008