Successful ultrasound‐guided laser treatment of fetal hydrops caused by pulmonary sequestration
Open Access
- 13 March 2007
- journal article
- case report
- Published by Wiley in Ultrasound in Obstetrics & Gynecology
- Vol. 29 (4), 457-459
- https://doi.org/10.1002/uog.3984
Abstract
Microcystic or solid‐looking fetal lung lesions associated with hydrops are associated with a high mortality rate. The most common of these lesions are microcystic congenital cystic adenomatoid malformations and pulmonary sequestrations (PS). Performing open fetal surgery by hysterotomy and lobectomy has, until now, been the only therapeutic option available following diagnosis of these lesions in the second trimester. Here we describe a new minimally invasive technique for the treatment of PS in the second trimester. Laser coagulation of the feeding systemic artery of the sequestration was performed under ultrasound guidance. The blood flow to the lung tumor was successfully arrested and hydrops reversed. The child was born at term and, at the time of writing, was alive and well at 2 years of age. Large PS with hydrops can be treated successfully by ultrasound‐guided minimally invasive laser surgery. It is therefore important to utilize color Doppler ultrasound imaging for identification of a systemic feeding blood vessel in solid fetal lung tumors. Copyright © 2007 ISUOG. Published by John Wiley & Sons, Ltd.Keywords
This publication has 15 references indexed in Scilit:
- Prenatal diagnosis of pulmonary sequestration using three‐dimensional power Doppler ultrasoundUltrasound in Obstetrics & Gynecology, 2005
- Fetal thoracoamniotic shunting as the only treatment for pulmonary sequestration with hydrops: favorable long-term outcome without postnatal surgeryUltrasound in Obstetrics & Gynecology, 2003
- A new approach to prenatal treatment of extralobar pulmonary sequestrationPrenatal Diagnosis, 2000
- Fetal pulmonary sequestration: a favorable congenital lung lesionPublished by Ovid Technologies (Wolters Kluwer Health) ,1999
- Successful thoracoamniotic shunting using a double‐flower catheter in a case of fetal cystic adenomatoid malformation associated with hydrops and polyhydramniosUltrasound in Obstetrics & Gynecology, 1997
- Antenatal and postnatal treatment of pleural effusion and extra-lobar pulmonary sequestrationjpme, 1996
- Antenatal Diagnosis of Pulmonary SequestrationObstetrical & Gynecological Survey, 1992
- Antenatal intervention for congenital cystic adenomatoid malformationThe Lancet, 1990
- Antenatal Diagnosis and Treatment of Fetal Bronchopulmonary SequestrationFetal Diagnosis and Therapy, 1990
- Pulmonary SequestrationThe Annals of Thoracic Surgery, 1969