Fetal pulmonary malformations comprise a rare but often lethal group o
f congenital anomalies. Until recently, diagnosis and therapy were dir
ected postnatally and therefore some cases of fetal compromise were in
evitably missed. We present 2 cases in which intermittent thoracentesi
s of fetal cystic lung malformations resulted in a successful outcome.
Intrauterine thoracentesis should be considered in the second and thi
rd trimester of pregnancy in cases which demonstrate early fetal compr
omise.