Thoracoamniotic shunt placement for a right-sided congenital diaphragmatic hernia complicated by hydrops

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• 作者：S. Christopher Derderian ; Corey W. Iqbal ; Juan M. Ganzalez ; Tippi C. MacKenzie ; Doug Miniati ; Shinjiro Hirose
• 关键词：Right-sided congenital diaphragmatic hernia ; Fetal hydrops ; Thoracoamniotic shunt
• 刊名：Journal of Pediatric Surgery Case Reports
• 出版年：September, 2013
• 年：2013
• 卷：1
• 期：9
• 页码：281-283
• 全文大小：253 K

文摘

Mortality associated with congenital diaphragmatic hernia (CDH) is high, and the role of prenatal management continues to evolve. We report a case of a right-sided CDH complicated by fetal hydrops successfully managed with thoracoamniotic shunt placement. Subsequent ultrasounds indicated resolution of hydrops. Despite preterm premature rupture of membrane and preterm delivery at 32 3/7 weeks gestation, the infant survived to hospital discharge at 2.5 months of life. This is the first case of a hydropic right-sided CDH successfully treated with a thoracoamniotic shunt.