The heart was seen in the right side of thorax . The left hemithorax showed the stomach bubble and bowel loops suggestive of Congenital Diaphragmatic Hernia .
The fetus also showed bilateral pelvi calyectasis and rt ureteromegaly.
Infants with CDH should be delivered in specialist centres
Gentle ventilation techniques, including permissive hypercapnia to protect the delicate lungs, and strategies to reduce pulmonary hypertension should be employed
Surgery should be delayed until pulmonary hypertension has been stabilised in utero surgery offers hope for high risk CDH but techniques are not yet perfected and premature labour remains a problem
Postnatal lung growth strategy with perfluorocarbon liquid and ECMO support is encouraging for high risk cases