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Antenatal thoracoamniotic shunting in congenital cystic adenomatoid malformation
  1. Terry Cullen1,
  2. Clare Tower2,
  3. Kristin Tanney1
  1. 1Neonatal Intensive Care Unit, Central Manchester University Hospitals NHS Foundation Trust, Manchester, UK
  2. 2Fetal Medicine Unit, Central Manchester University Hospitals NHS Foundation Trust, Manchester, UK
  1. Correspondence to Dr Terry Cullen, tdcullen{at}hotmail.co.uk

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This case report describes a baby who was diagnosed antenatally with a significant left-sided congenital cystic adenomatoid malformation.

Following diagnosis of a fluid-filled, macrocystic structure on the left side of the chest, the mother was referred at 27 weeks’ gestation to her regional fetal medicine unit for assessment and ongoing management. Fetal MRI demonstrated a cyst measuring 6.7 mm × 4.3 mm, associated with mediastinal shift and affecting cardiac contractility. Scalp …

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