Giant pulmonary sequestration: The rare case requiring the EXIT procedure with resection and ECMO

George B. Mychaliska, Benjamin S. Bryner, Clark Nugent, John Barks, Ronald B. Hirschl, Kimberly McCrudden, Mark Chames, Carlen Gomez-Fifer, Monica N. Servin, S. Devi Chiravuri

Research output: Contribution to journalArticlepeer-review

19 Scopus citations

Abstract

Although most prenatally diagnosed pulmonary sequestrations (PS) are asymptomatic, large lesions are associated with pleural effusions and pulmonary hypoplasia. We present the first reported case of a prenatally diagnosed giant extralobar pulmonary sequestration that required the ex utero intrapartum treatment (EXIT) procedure with resection and extracorporeal membrane oxygenation (ECMO). We discuss the compelling rationale for performing EXIT-resection-ECMO in the setting of a large thoracic mass and anticipated severe respiratory failure at birth.

Original languageEnglish (US)
Pages (from-to)163-166
Number of pages4
JournalFetal Diagnosis and Therapy
Volume25
Issue number1
DOIs
StatePublished - Aug 2009

Keywords

  • Ex utero intrapartum treatment
  • Extracorporeal membrane oxygenation
  • Fetal surgery
  • Prenatal diagnosis
  • Pulmonary sequestration
  • Thoracic mass

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Embryology
  • Radiology Nuclear Medicine and imaging
  • Obstetrics and Gynecology

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