| Prenatal diagnosis of main stem bronchial atresia using 3-dimensional ultrasonographic technologies. | |
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MedLine Citation:
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PMID: 20375382 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: The purpose of this series was to report the contribution of 3-dimensional ultrasonographic (3DUS) technologies in performing the prenatal diagnosis of main stem bronchial atresia (BA). METHODS: We report 2 cases in which the prenatal diagnosis of main stem BA was performed using 3DUS technologies. Both fetuses presented with extremely enlarged hyperechoic right lungs, shifting the mediastinum to the left, associated with hydrops and polyhydramnios. A revision of the literature was made, focusing on the prenatal characteristics and perinatal prognosis of main stem BA. RESULTS: In the first case, a congenital type III cystic adenomatoid malformation was suspected initially, but a posterior 3DUS analysis on multiplanar imaging allowed identification of a dilated right bronchus, and a right main stem BA was confirmed at autopsy. In the second case, volume contrast imaging was used during fetal scanning, which also allowed identification of the right main bronchial dilatation. In reviewing the literature, we found a tendency for main stem BA to be more severe than lobar and segmental atresias. CONCLUSIONS: Three-dimensional ultrasonographic technologies may improve the pre-natal diagnosis of main stem BA. |
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Authors:
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Georges Abitayeh; Rodrigo Ruano; Jelena Martinovic; Bruno Barthe; Marie-Cecile Aubry; Alexandra Benachi |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine Volume: 29 ISSN: 1550-9613 ISO Abbreviation: J Ultrasound Med Publication Date: 2010 Apr |
Date Detail:
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Created Date: 2010-04-08 Completed Date: 2010-07-15 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8211547 Medline TA: J Ultrasound Med Country: United States |
Other Details:
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Languages: eng Pagination: 633-8 Citation Subset: IM |
Affiliation:
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Maternity Department, Necker-Enfants Malades Hospital, 75015 Paris, France. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Bronchi / abnormalities* Female Humans Imaging, Three-Dimensional Pregnancy Pregnancy Outcome Respiratory System Abnormalities / ultrasonography* Ultrasonography, Doppler / methods* Ultrasonography, Prenatal / methods* |
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