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Chapter 11 - Lung Masses

from Section 3

Published online by Cambridge University Press:  19 November 2021

Olutoyin A. Olutoye
Ann & Robert H. Lurie Children's Hospital of Chicago, Illinois
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Prenatally diagnosed congenital lung malformations represent a wide variety of fetal pulmonary and airway anomalies, some of which may require close monitoring and perinatal follow-up. Historically these masses were only typically seen when they were very large, at which point they were associated with a high incidence of hydrops and a high termination rate; therefore a diagnosis of a fetal lung mass had a guarded prognosis. Widespread use of prenatal ultrasound improved detection of these masses and advances in surgical techniques have allowed for intervention in the fetal period. More recently, a better understanding of fetal physiology and the use of prenatal steroids has reduced the number of fetuses requiring in-utero intervention. When indicated, in-utero treatment requires a multidisciplinary approach with close attention given to the fetal physiology, risk of maternal complications, and unique anesthetic considerations.

Anesthesia for Maternal-Fetal Surgery
Concepts and Clinical Practice
, pp. 152 - 167
Publisher: Cambridge University Press
Print publication year: 2021

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