Document Detail


Thoracoamniotic shunting for fetal pleural effusions with hydrops.
MedLine Citation:
PMID:  15592290     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The purpose of this study was to evaluate perinatal outcome after thoracoamniotic shunting for fetal pleural effusions with hydrops. STUDY DESIGN: This was a retrospective study. RESULTS: Shunting was performed immediately after diagnosis and was successful in all 54 of the cases that were attempted. There were 7 pregnancy terminations, 9 in utero deaths, and 38 live births, of which 7 children died in the neonatal period and 31 children survived. Among the liveborn infants, 27 infants were delivered preterm (71%), of whom 7 infants (15%) had preterm premature rupture of membranes and 4 infants (8.5%) had chorioamnionitis. Perinatal death (23/54 infants; 43%) was related to underlying anomalies (7 cases), pulmonary hypoplasia (5 cases), chorioamnionitis (2 cases), or treatment failure for unknown reasons (9 cases). All 31 survivors had chylothorax; for 28 of the survivors, the chylothorax was primary, and for 3 survivors, the chylothorax was the result of right congenital diaphragmatic hernia, pulmonary sequestration, or Noonan syndrome. CONCLUSION: After the shunting, pleural effusion with hydrops has a 57% survival rate; premature delivery is the leading source of morbidity.
Authors:
Olivier Picone; Alexandra Benachi; Laurent Mandelbrot; Rodrigo Ruano; Yves Dumez; Marc Dommergues
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  191     ISSN:  0002-9378     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  2004 Dec 
Date Detail:
Created Date:  2004-12-13     Completed Date:  2005-01-27     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  2047-50     Citation Subset:  AIM; IM    
Affiliation:
Hôpital Necker-Enfants Malades, AP-HP and Université Paris V, Paris, France.
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MeSH Terms
Descriptor/Qualifier:
Amniotic Fluid
Cohort Studies
Drainage / methods
Female
Fetal Death
Gestational Age
Humans
Hydrops Fetalis / mortality,  surgery*,  ultrasonography
Hydrothorax / mortality,  surgery,  ultrasonography
Infant, Newborn
Infant, Premature
Obstetric Labor, Premature
Pleural Effusion / mortality,  surgery*,  ultrasonography
Pregnancy
Pregnancy Outcome
Prognosis
Retrospective Studies
Risk Assessment
Severity of Illness Index
Survival Rate
Thoracostomy / methods
Ultrasonography, Prenatal

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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