A Complication of Percutaneous Sclerotherapy for Congenital Pulmonary Airway Malformation: Intravascular Injection and Cardiac Necrosis

被引：7
作者：
Chon, Andrew H. [1 ]
Takeda, Moe R. [2 ]
Felix, Juan C. [2 ]
Chmait, Ramen H. [1 ]
机构：
[1] Univ Southern Calif, Div Maternal Fetal Med, Dept Obstet & Gynecol, Los Angeles, CA 90089 USA
[2] Univ Southern Calif, Dept Pathol, Los Angeles, CA 90089 USA
来源：
FETAL AND PEDIATRIC PATHOLOGY | 2017年 / 36卷 / 06期
关键词：
Congenital pulmonary airway malformation; CPAM; sclerotherapy; ethanolamine oleate; CYSTIC ADENOMATOID MALFORMATION; FETAL LUNG LESIONS; ETHANOLAMINE OLEATE; PRENATAL-DIAGNOSIS; ESOPHAGEAL-VARICES; MANAGEMENT; STEROIDS; INTERVENTION;
D O I：
10.1080/15513815.2017.1346017
中图分类号：
R36 [病理学];
学科分类号：
100104 ;
摘要：
Introduction: A congenital pulmonary airway malformation (CPAM) type III may become large enough to cause hydrops fetalis. In such circumstances, the fetus can be treated with open fetal resection, maternal betamethasone administration, or percutaneous sclerotherapy. Case report: A 24 week gestation fetus with a CPAM type III was treated by percutaneous sclerotherapy using ethanolamine oleate (EO). The EO inadvertently entered the left atrium and ventricle with subsequent fetal bradycardia and demise. Autopsy revealed myocardial necrosis. Conclusion: Percutaneous sclerotherapy has been previously described in the literature for the treatment of microcystic CPAMs with secondary hydrops. This is the first reported case of an adverse event after fetal sclerotherapy.
引用
收藏
页码：437 / 444
页数：8
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