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
