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EXIT (ex utero intrapartum treatment) in a growth restricted fetus with tracheal atresia
S Kyle Gonzales1, Steven Goudy2, Kara Prickett2
1Division of Maternal Fetal Medicine, Emory University, Atlanta, GA, USA.
Abstract:
Congenital high airway obstruction syndrome (CHAOS) encompasses a heterogeneous group of pathologies leading to poor lung development and difficulty oxygenating the newborn after delivery. While previously uniformly fatal, the ex utero intrapartum therapy (EXIT) procedure has provided a method to treat these patients and provide an airway to potentiate survival. We present a patient diagnosed prenatally with CHAOS secondary to tracheal atresia complicated by severe intra-uterine growth restriction (IUGR) who was successfully delivered via an EXIT procedure at 33-weeks. Multidisciplinary care and planning is paramount.
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