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Malformaciones Congénitas de las Vías Respiratorias Pulmonares Agresivas con Quistes Dominantes

DonnaMaria E Cortezzo^1,2,3,4, Erica Hammer^4,5,6, Timothy M Crombleholme^1,4,7,8

¹University of Connecticut School of Medicine, Department of Pediatrics, Farmington, Connecticut.

|January 31, 2026

Resumen

Las malformaciones congénitas de las vías respiratorias pulmonares (MCVP) pueden presentar riesgos durante el embarazo. Las intervenciones fetales, como las derivaciones toracoamnióticas, pueden manejar casos complejos, requiriendo atención multidisciplinaria para la madre y el recién nacido.

Área de la Ciencia:

Ciencia Médica
Cirugía Pediátrica
Medicina Materno-Fetal

Sus antecedentes:

Las malformaciones congénitas de las vías respiratorias pulmonares (MCVP) son anomalías pulmonares congénitas con presentaciones clínicas variables.
Las MCVP de alto riesgo presentan desafíos diagnósticos y de manejo significativos tanto para la persona embarazada como para el feto.

Objetivo del estudio:

Presentar dos casos desafiantes de MCVP fetales que requirieron intervención.
Revisar la literatura y guiar el manejo de las MCVP durante el embarazo y el período neonatal.

Principales métodos:

Informe de caso de dos personas embarazadas con MCVP fetales.
Intervención fetal utilizando derivaciones toracoamnióticas.
Revisión exhaustiva de la literatura sobre el manejo de las MCVP.

Principales resultados:

Se observó una presentación temprana (13 semanas de gestación) y un aumento rápido del índice de volumen de MCVP en los casos.
Se realizó una intervención fetal exitosa con derivaciones toracoamnióticas.
La atención prenatal y neonatal posterior fue compleja y requirió un enfoque multidisciplinario.

Conclusiones:

El manejo de las MCVP fetales requiere una cuidadosa consideración de las características de la lesión y la edad gestacional.
El asesoramiento prenatal multidisciplinario, la planificación individualizada del parto y el manejo neonatal son cruciales para obtener resultados óptimos.
Las derivaciones toracoamnióticas pueden ser una intervención fetal eficaz para casos seleccionados de MCVP.

Palabras clave:

Malformaciones congénitas de las vías respiratorias pulmonares Quistes Intervención fetal Derivación toracoamniótica Atención multidisciplinaria Embarazo Recién nacido

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