Abstract
Thoraco-amniotic shunting was performed in 51 singleton pregnancies for decompression and chronic drainage of fetal pleural effusions (n = 47), pericardial effusion (n = 1), or pulmonary cysts (n = 3). Five fetuses had chromosomal defects and in 4 the parents elected termination of pregnancy. All 18 non-hydropic fetuses and 14 of the 28 with hydrops survived. Thoraco-amniotic shunting is useful for diagnostic evaluation and treatment of fetuses with pathologic collection of intrathoracic fluid.
MeSH terms
-
Amnion / diagnostic imaging
-
Amnion / embryology*
-
Amnion / surgery
-
Anastomosis, Surgical / instrumentation
-
Cystic Adenomatoid Malformation of Lung, Congenital / diagnostic imaging
-
Cystic Adenomatoid Malformation of Lung, Congenital / embryology
-
Cystic Adenomatoid Malformation of Lung, Congenital / surgery
-
Female
-
Fetal Diseases / diagnostic imaging
-
Fetal Diseases / surgery*
-
Humans
-
Male
-
Pericardial Effusion / diagnostic imaging
-
Pericardial Effusion / embryology
-
Pericardial Effusion / surgery
-
Pleural Effusion / diagnostic imaging
-
Pleural Effusion / embryology
-
Pleural Effusion / surgery
-
Pregnancy
-
Thoracic Surgery*
-
Thorax / diagnostic imaging
-
Thorax / embryology
-
Ultrasonography