title: Giant pulmonary sequestration: the rare case requiring the EXIT procedure with resection and ECMO.
abstract: Although most prenatally diagnosed pulmonary sequestrations (PS) are asymptomatic, large lesions are associated with pleural effusions and pulmonary hypoplasia. We present the first reported case of a prenatally diagnosed giant extralobar pulmonary sequestration that required the ex utero intrapartum treatment (EXIT) procedure with resection and extracorporeal membrane oxygenation (ECMO). We discuss the compelling rationale for performing EXIT-resection-ECMO in the setting of a large thoracic mass and anticipated severe respiratory failure at birth.
authors.affiliation: The Fetal Diagnosis and Treatment Center, University of Michigan, Ann Arbor, MI, USA. mychalis@umich.edu
authors.forename: George B
authors.initials: GB
authors.lastname: Mychaliska
authors.forename: Benjamin S
authors.initials: BS
authors.lastname: Bryner
authors.forename: Clark
authors.initials: C
authors.lastname: Nugent
authors.forename: John
authors.initials: J
authors.lastname: Barks
authors.forename: Ronald B
authors.initials: RB
authors.lastname: Hirschl
authors.forename: Kimberly
authors.initials: K
authors.lastname: McCrudden
authors.forename: Mark
authors.initials: M
authors.lastname: Chames
authors.forename: Carlen
authors.initials: C
authors.lastname: Gomez-Fifer
authors.forename: Monica N
authors.initials: MN
authors.lastname: Servin
authors.forename: S Devi
authors.initials: SD
authors.lastname: Chiravuri
mesh_terms: D000328:Adult; D001998:Bronchopulmonary Sequestration / Q000000981:diagnostic imaging / Q000601:surgery* / Q000628:therapy; D015199:Extracorporeal Membrane Oxygenation; D005260:Female; D005333:Fetus / Q000098:blood supply / Q000601:surgery; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D011247:Pregnancy; D014463:Ultrasonography