| Hydrothorax treated in utero and monitored by fetal echocardiography. | |
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MedLine Citation:
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PMID: 19548461 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Primary fetal hydrothorax is a relatively rare disorder, occurring in 1 out of 15,000 pregnancies, but connected with high perinatal mortality. In the event of little or no progress of the effusion or stable clinical course, conservative management seems to be the most appropriate course of action. In nearly half of the cases, a placement of only one pleuroamniotic shunt enables a total regression of the primary fetal hydrothorax and, consequently, a favourable outcome. The remaining cases require the placement of yet another shunt. In the case of repeated shunt failure, the prognosis is very poor. In the following paper we have presented a fetus with a giant re-accumulating hydrothorax after thoracocentesis, treated by pleuroamniotic shunts and monitored by fetal echocardiography and cardiovascular profile score. Despite dramatic fetal presentation and rapid re-accumulation of the hydrothorax, monitoring by fetal echocardiography and cardiovascular profile score proved the repeated fetal needling and double shunting to be safe. If there are no complications such as premature rupture of the membranes and preterm delivery, fetal echocardiography is a sufficient way of monitoring fetal well-being and the results of intrauterine procedures. |
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Authors:
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Maciej Słodki; Katarzyna Janiak; Krzysztof Szaflik; Maria Respondek-Liberska |
Publication Detail:
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Type: Case Reports; Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Ginekologia polska Volume: 80 ISSN: 0017-0011 ISO Abbreviation: Ginekol. Pol. Publication Date: 2009 May |
Date Detail:
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Created Date: 2009-06-24 Completed Date: 2009-08-21 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0374641 Medline TA: Ginekol Pol Country: Poland |
Other Details:
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Languages: eng Pagination: 386-9 Citation Subset: IM |
Affiliation:
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Department of Diagnosis and Prevention of Congenital Malformation, Medical University and Polish Mother's Memorial Hospital Research Institute in Lodz, Poland. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Amnion
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surgery,
ultrasonography Anastomosis, Surgical Female Fetal Diseases / surgery*, ultrasonography* Humans Hydrothorax / surgery*, ultrasonography* Infant, Newborn Pleura / surgery, ultrasonography Pregnancy Treatment Outcome Ultrasonography, Prenatal |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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