Fetal pulmonary malformations - diagnosis and therapeutic conduct guidelines

E. Brătilă, G. Iacob, C. Mehedințu, R. Bohîlțea, M. Cîrstoiu, D.E. Comandașu, M. Mitran, C. Berceanu

Rezumat: The most common fetal pulmonar lesions diagnosed antenatally are pulmonary sequester and congenital cystic adenomatoid malformation. They can be diagnosed by ultrasound between 18-25 weeks of gestation. They usually evolve in dimensions until 28 weeks of gestation, after which they may stagnate in size, can regress, or can increase further. The symptomatology is variable, depending on their size: small lesions can remain asymptomatic even after birth, others can lead to pulmonary hypoplasia with mediastinal shift, vena cava obstruction, impaired venous return and cardiac compression, ultimately leading to fetal hydrops. If for asymptomatic lesions we can adopt an attitude of expectation until symptoms appear, in case of symptomatic ones a close monitoring of the pregnancy and surgery in case of the appearance of the aforementioned complications are recommended.
Cuvinte cheie: congenital cystic adenomatoid malformation (CCAM), pulmonary sequester (PS), antenatal diagnosis.