SUCCESSFUL THORACOAMNIOTIC SHUNTING USING A DOUBLE-FLOWER CATHETER INA CASE OF FETAL CYSTIC ADENOMATOID MALFORMATION ASSOCIATED WITH HYDROPS AND POLYHYDRAMNIOS

We describe a case of congenital cystic adenomatoid malformation treat ed by thoracoamniotic shunting using a double-flower catheter. An ultr asound examination at 25 weeks' gestation revealed a cystic mass withi n the fetal thoracic cavity, hydrops and polyhydramnios. Thoracoamniot ic shunting under ultrasound guidance using a double-flower catheter w as performed at 27 weeks. The procedure not only decompressed the lung cyst but also improved the secondary physiological changes, i.e. medi astinal shift, hydrops and polyhydramnios. A 2438-g male neonate was d elivered at 37 weeks with no respiratory problems and resection of the right lower pulmonary lobe was successfully Performed 24 h after birt h.