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congenital cystic adenomatoid malformation (CCAM) (procedures (shunt…
congenital cystic adenomatoid malformation (CCAM)
pulmonary tumor
cystic components
solid components
lesions
regress
minimal morbidity
progress & enlarge
hydro fetalis
fluid or edema acculmates
in at least 2 fetal compartments
subcutaneous
leads to spontaneous abortion
pleura
pericardium
abdomen
condition in fetus
prenatal form of heart failure
heart cant supply high demand of blood flow
procedures
shunt catheters between
large cyst
amniotic cavity
results in
sustained decompression
resolution of hydrops
performed in utero
followed by postnatal surgery
in utero lobectomy
allows for compensatory lung growth
50% survival rate
resolution of hydrops
thoracentisis
not all lesions can be decompressed
can refill rapidly
