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Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus
Published on: March 6, 2019
Fetal pleuroamniotic shunting for bronchopulmonary sequestration with hydrops
1Division of Fetal Medicine, National Center for Child Health and Development, Japan.
Summary
Bronchopulmonary sequestration (BPS) with fetal hydrops poses a high perinatal mortality risk. Pleuroamniotic shunting offers a successful treatment option for these complex fetal cases.
Area of Science:
- Perinatal Medicine
- Fetal Surgery
- Congenital Abnormalities
Background:
- Bronchopulmonary sequestration (BPS) is a rare congenital lung malformation.
- When complicated by fetal hydrops, BPS is associated with significant perinatal mortality.
- Limited case reports exist for BPS with fetal hydrops and hydrothorax.
Observation:
- This study reports on three cases of BPS complicated by fetal hydrothorax and hydrops.
- All three cases presented with significant fetal fluid accumulation.
- The clinical course and management of these complex cases were documented.
Findings:
- Successful treatment was achieved in all three cases using pleuroamniotic shunting.
- Pleuroamniotic shunting effectively managed the fetal hydrothorax and hydrops.
- This intervention improved perinatal outcomes in the reported cases.
Implications:
- Pleuroamniotic shunting should be considered a viable treatment option for BPS with fetal hydrothorax and hydrops.
- This approach may reduce perinatal mortality associated with this condition.
- Further research into optimal management strategies for BPS complications is warranted.
