Perinatal diagnosis and surgical correction of intralobar sequestration associated with cystic-adenomatous malformation of right lung, in a newborn

Aim - to analyze and describe the experience of surgical treatment of symptomatic intralobar pulmonary sequestration associated with cystic-adenomatous malformation of the lower lobe of the right lung in a newborn child based on a clinical case. Clinical case. A unique clinical case of treatment of symptomatic intralobar pulmonary sequestration associated with cystic-adenomatous malformation of the lower lobe of the right lung in a newborn child is presented. Features of perinatal support, preoperative preparation, and surgical intervention are described, which are important elements of optimizing the treatment of children with this life-threatening pathology. Conclusions. A scientifically based, differentiated approach is needed in the diagnosis and treatment of pulmonary sequestration, which includes: early (up to 22 weeks of gestation) complex prenatal diagnosis, to choose a rational pregnancy management tactic; examination of the fetus, with an assessment of its general condition, the dynamics of the pathological process during gestation; delivery of a pregnant woman according to the obstetric situation; postnatal diagnosis; preoperative preparation and surgical treatment in the conditions of a multifunctional perinatal center. Ultrasound with Doppler mapping is the leading method of prenatal diagnosis of pulmonary sequestration for choosing rational tactics of pregnancy management, as well as fetal examination. With symptomatic intralobar pulmonary sequestration and associated cystic-adenomatous malformation, within one lobe of the lung, it is advisable to perform a simultaneous operation: correction of both lung defects by lobectomy in the neonatal period, which prevents possible complications and gives good functional results. The research was carried out in accordance with the principles of the Declaration of Helsinki. Informed consent of the woman was obtained for the research. The authors declare no conflict of interest.