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Fetal Thoracoamniotic Shunting in a Case of Congenital Pulmonary Airway Malformations with Hydrops Fetalis

Aim  We report a case of congenital pulmonary airway malformation (CPAM) with hydrops in which the fetus underwent thoracoamniotic shunting. Case Report  A 40-year-old (G1P1) woman was diagnosed with a macrocystic CPAM. Thoracoamniotic shunting was performed at 19 weeks of gestation but not well dra...

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Autores principales: Nitta, Hayase, Taira, Yusuke, Kinjo, Tadatsugu, Chinen, Yukiko, Masamoto, Hitoshi, Sanabe, Naoya, Goya, Hideki, Yoshida, Tomohide, Sugibayashi, Rika, Sumie, Masahiro, Wada, Seiji, Sago, Haruhiko, Aoki, Yoichi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Thieme Medical Publishers 2017
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5610044/
https://www.ncbi.nlm.nih.gov/pubmed/28948063
http://dx.doi.org/10.1055/s-0037-1606830
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author Nitta, Hayase
Taira, Yusuke
Kinjo, Tadatsugu
Chinen, Yukiko
Masamoto, Hitoshi
Sanabe, Naoya
Goya, Hideki
Yoshida, Tomohide
Sugibayashi, Rika
Sumie, Masahiro
Wada, Seiji
Sago, Haruhiko
Aoki, Yoichi
author_facet Nitta, Hayase
Taira, Yusuke
Kinjo, Tadatsugu
Chinen, Yukiko
Masamoto, Hitoshi
Sanabe, Naoya
Goya, Hideki
Yoshida, Tomohide
Sugibayashi, Rika
Sumie, Masahiro
Wada, Seiji
Sago, Haruhiko
Aoki, Yoichi
author_sort Nitta, Hayase
collection PubMed
description Aim  We report a case of congenital pulmonary airway malformation (CPAM) with hydrops in which the fetus underwent thoracoamniotic shunting. Case Report  A 40-year-old (G1P1) woman was diagnosed with a macrocystic CPAM. Thoracoamniotic shunting was performed at 19 weeks of gestation but not well drained and was successfully performed again at 23 weeks. However, the CPAM volume ratio, abdominal circumference, and amniotic fluid index started increasing from 28 weeks and hydrops worsened. The insufficient shunting and the fetal cardiac failure had to be considered. At 32 weeks, a male infant with general edema and massive ascites was born weighing 3,362 g (+4.79 SD) with Apgar scores of 2 and 4. The infant was intubated and high-frequency oscillation and nitric oxide therapies were instituted. The resection of CPAM was performed on day 2. Nasal continuous positive airway pressure was instituted on day 16. The infant was discharged and prescribed with home oxygen therapy (HOT) on day 65. The infant was able to leave the HOT at 30 months and is currently 34 months of age in good condition. Conclusion  Fetal thoracoamniotic shunting may be life-saving in CPAM complicated by hydrops and that this treatment might be sufficient to cure the child.
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spelling pubmed-56100442017-09-25 Fetal Thoracoamniotic Shunting in a Case of Congenital Pulmonary Airway Malformations with Hydrops Fetalis Nitta, Hayase Taira, Yusuke Kinjo, Tadatsugu Chinen, Yukiko Masamoto, Hitoshi Sanabe, Naoya Goya, Hideki Yoshida, Tomohide Sugibayashi, Rika Sumie, Masahiro Wada, Seiji Sago, Haruhiko Aoki, Yoichi AJP Rep Aim  We report a case of congenital pulmonary airway malformation (CPAM) with hydrops in which the fetus underwent thoracoamniotic shunting. Case Report  A 40-year-old (G1P1) woman was diagnosed with a macrocystic CPAM. Thoracoamniotic shunting was performed at 19 weeks of gestation but not well drained and was successfully performed again at 23 weeks. However, the CPAM volume ratio, abdominal circumference, and amniotic fluid index started increasing from 28 weeks and hydrops worsened. The insufficient shunting and the fetal cardiac failure had to be considered. At 32 weeks, a male infant with general edema and massive ascites was born weighing 3,362 g (+4.79 SD) with Apgar scores of 2 and 4. The infant was intubated and high-frequency oscillation and nitric oxide therapies were instituted. The resection of CPAM was performed on day 2. Nasal continuous positive airway pressure was instituted on day 16. The infant was discharged and prescribed with home oxygen therapy (HOT) on day 65. The infant was able to leave the HOT at 30 months and is currently 34 months of age in good condition. Conclusion  Fetal thoracoamniotic shunting may be life-saving in CPAM complicated by hydrops and that this treatment might be sufficient to cure the child. Thieme Medical Publishers 2017-07 2017-09-22 /pmc/articles/PMC5610044/ /pubmed/28948063 http://dx.doi.org/10.1055/s-0037-1606830 Text en © Thieme Medical Publishers
spellingShingle Nitta, Hayase
Taira, Yusuke
Kinjo, Tadatsugu
Chinen, Yukiko
Masamoto, Hitoshi
Sanabe, Naoya
Goya, Hideki
Yoshida, Tomohide
Sugibayashi, Rika
Sumie, Masahiro
Wada, Seiji
Sago, Haruhiko
Aoki, Yoichi
Fetal Thoracoamniotic Shunting in a Case of Congenital Pulmonary Airway Malformations with Hydrops Fetalis
title Fetal Thoracoamniotic Shunting in a Case of Congenital Pulmonary Airway Malformations with Hydrops Fetalis
title_full Fetal Thoracoamniotic Shunting in a Case of Congenital Pulmonary Airway Malformations with Hydrops Fetalis
title_fullStr Fetal Thoracoamniotic Shunting in a Case of Congenital Pulmonary Airway Malformations with Hydrops Fetalis
title_full_unstemmed Fetal Thoracoamniotic Shunting in a Case of Congenital Pulmonary Airway Malformations with Hydrops Fetalis
title_short Fetal Thoracoamniotic Shunting in a Case of Congenital Pulmonary Airway Malformations with Hydrops Fetalis
title_sort fetal thoracoamniotic shunting in a case of congenital pulmonary airway malformations with hydrops fetalis
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5610044/
https://www.ncbi.nlm.nih.gov/pubmed/28948063
http://dx.doi.org/10.1055/s-0037-1606830
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