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CC BY-NC-ND 4.0 · Journal of Fetal Medicine 2020; 07(04): 309-315
DOI: 10.1007/s40556-020-00280-5
Fetal Procedures

Interstitial Laser Occlusion of the Systemic Feeding Vessel in a Hybrid Lung Lesion: Technique, Clinical Course, Perinatal Outcome and a Review of Literature

Vidhika Berwal
1   Division of Fetal Medicine and Perinatology, Amrita Centre of Excellence in Fetal Care, AMRITA Institute of Medical Sciences, AIMS Ponekkara PO, 682 041, Kochi, Kerala, India
,
Sarala Sreedhar
2   Obstetrics and Gynaecology, AMRITA Institute of Medical Sciences, Kochi, India
,
Mohan Abraham
3   Paediatric and Fetal Surgery, AMRITA Institute of Medical Sciences, Kochi, India
,
Vivek Krishnan 
1   Division of Fetal Medicine and Perinatology, Amrita Centre of Excellence in Fetal Care, AMRITA Institute of Medical Sciences, AIMS Ponekkara PO, 682 041, Kochi, Kerala, India
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Abstract

The two most common fetal lung lesions include Bronchopulmonary sequestration (BPS) and Congenital pulmonary airway malformation (CPAM).Their co-existence is known as a hybrid lesion. Fetal hydrops in such cases is associated with very high morbidity and mortality. Several fetal interventions have been recommended over the past years to treat the same, with varying success rates. We describe a case of a hybrid CPAM complicated by hydrops which was successfully treated by interstitial laser coagulation of the systemic feeder artery. We also review current literature on the available interventions and conclude that interstitial laser has emerged as the preferred modality of treatment over the years.

Keywords

Hybrid lesion - CPAM - Bronchopulmonary sequestration - Prenatal intervention - Interstitial laser - Fetal surgery


Publication History

Received: 12 May 2020

Accepted: 28 November 2020

Article published online:
05 May 2023

© 2021. Society of Fetal Medicine. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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