Successful thoracoamniotic shunting using a double-flower catheter in a case of fetal cystic adenomatoid malformation associated with hydrops and polyhydramnios

被引:8
作者
Ryo, E [1 ]
Okai, T [1 ]
Namba, S [1 ]
Okagaki, R [1 ]
Kikuchi, A [1 ]
Kozuma, S [1 ]
Yoshikawa, H [1 ]
Taketani, Y [1 ]
机构
[1] UNIV TOKYO,FAC MED,DEPT OBSTET & GYNECOL,TOKYO 113,JAPAN
关键词
cystic adenomatoid malformation; fetal therapy; double-flower catheter; hydrops; polyhydramnios;
D O I
10.1046/j.1469-0705.1997.10040293.x
中图分类号
O42 [声学];
学科分类号
070206 ; 082403 ;
摘要
We describe a case of congenital cystic adenomatoid malformation treated by thoracoamniotic shunting using a double-flower catheter. An ultrasound examination at 25 weeks' gestation revealed a cystic mass within the fetal thoracic cavity, hydrops and polyhydramnios. Thoracoamniotic shunting under ultrasound guidance using a double-flower catheter was performed at 27 weeks. The procedure not only decompressed the lung cyst but also improved the secondary physiological changes, i.e. mediastinal shift, hydrops and polyhydramnios. A 2438-g male neonate was delivered at 37 weeks with no respiratory problems and resection of the right lower pulmonary lobe was successfully Performed 24 h after birth.
引用
收藏
页码:293 / 296
页数:4
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