Affiliations: Neonatal Intensive Care Unit, “V.Buzzi” Hospital, ICP, Via Castelvetro 32, Milan, Italy | Department of Radiology and Neuroradiology, “V.Buzzi” Hospital, ICP, Via Castelvetro 32, Milan, Italy | Departments of Obstetric and Gynecology, “V.Buzzi” Hospital, ICP, Via Castelvetro 32, University of Milan, Milan, Italy
Note:  Corresponding author: Dr. Valentina Pivetti, Neonatal Intensive Care Unit, “V.Buzzi” Hospital, ICP, Via Castelvetro 32, Milan, Italy. Tel.: +39 02 57995341; Fax: +39 02 57995342; E-mail: [email protected]
Abstract: In this case, we describe a newborn with prenatal diagnosis of congenital high airway obstruction syndrome (CHAOS), successfully managed with a cesarean section with delayed cord clamping 180 seconds. In case of prenatal diagnosis of CHAOS, prompt airway intervention at delivery allows survival of this otherwise fatal condition. Ex utero intrapartum treatment (EXIT) is considered the elective procedure to secure the fetal airway before the baby is completely separated from the maternal circulation. In cases where the EXIT procedure is not possible for maternal reasons (Ballantyne's syndrome), delayed cord clamping may serve as an alternative method to manage CHAOS.