Management of Complicated Pulmonary Sequestration in Twin Pregnancy Postupak Kod Komplicirane Plu]ne Sekvestracije U Blizana^koj Trudno]i

It is well established that fetal pulmonary sequestration complicated by non-immune hydrops fetalis is associated with a high risk of mortality; however, antenatal management remains controversial in these rare cases. The main therapeutic strategies aim to drain the effusions in utero, although there is still debate as to the most adequate drainage route. The two main options are thoracoamniotic shunting and serial thoracocentheses. Others include medical inotropic therapy, alcohol ablation of the vascular pedicle, open fetal surgery and ablation of the feeding vessel with laser surgery. We report the case of a twin pregnancy in which one of the fetuses was affected by an extralobar pulmonary sequestration with large hydrothorax that was successfully treated with serial thoracocentheses.