ISSN :2822-5872
Northwestern Medical Journal
Congenital pulmonary malformations from the prenatal to the postnatal period: Tertiary center experience [ACH Medical Journal]
ACH Medical Journal. 2023; 2(4): 165-172 | DOI: 10.5505/achmedj.2023.37039

Congenital pulmonary malformations from the prenatal to the postnatal period: Tertiary center experience

Ayşegül Atalay1, Dilek şahin2
1Ankara City Hospital, Department of Obstetrics and Gynecology, Division of Perinatology, ANKARA, TURKEY
2Ankara City Hospital, Department of Obstetrics and Gynecology, University of Health Sciences, ANKARA, TURKEY

INTRODUCTION: Our purpose was to review our experience with the fetuses diagnosed prenatally with congenital pulmonary malformations (CPM).
METHODS: Retrospective study of fetuses prenatally diagnosed with congenital pulmonary airway malformation (CPAM), bronchopulmonary sequestration (BPS), bronchogenic cyst (BC) by ultrasonography between September 2020 and December 2022.
RESULTS: Sample analysis was based on 34 pregnancies with CPMs. On the basis of prenatal sonographic appearance, CPAM, BPS and BC were identified antenatally in 79.4% (27/34), 14.7% (5/34) and 5.8% (2/34), respectively. Most (76.5%) were isolated, all cases were unilateral (100%) and majority (64.7%) were regressed late antenatally or postnatally with expectant management. Of the 27 fetuses presented with CPAM, postsurgical resection was necessary for 5 cases (18.5%). There was only one case with hydrops and a CPAM volume ratio >1.6 and was managed with thoraco-amniotic shunt prenatally and right lower lobe resection postnatally. Of the 5 fetuses presented with BPS, thoracoscopic excision was necessary for 2 cases. Of the 2 fetuses presented with BC, cyst excision was performed or planned to cases.


DISCUSSION AND CONCLUSION: The results from our center in last two years reflect overall favorable outcomes for all CPMs. The role of ultrasound is cost-effective during perinatal period rather than fetal MRI.

Keywords: bronchogenic cyst, congenital pulmonary airway malformation, bronchopulmonary sequestration, outcome

Ayşegül Atalay, Dilek şahin. Congenital pulmonary malformations from the prenatal to the postnatal period: Tertiary center experience. ACH Medical Journal. 2023; 2(4): 165-172

Corresponding Author: Ayşegül Atalay, Türkiye
Manuscript Language: English