Percutaneous ultrasound‐guided sclerotherapy for complicated fetal intralobar bronchopulmonary sequestration
- 20 April 2007
- journal article
- case report
- Published by Wiley in Ultrasound in Obstetrics & Gynecology
- Vol. 29 (5), 586-589
- https://doi.org/10.1002/uog.3944
Abstract
Bronchopulmonary sequestration (BPS), which can be intralobar or extralobar, is a rare developmental anomaly of the lung characterized by nonfunctional pulmonary tissue without communication with the tracheobronchial tree and with an aberrant systemic arterial blood supply. The intralobar type is typically within the pleural cavity with an arterial feeding vessel generally arising from the thoracic aorta and with venous drainage into the left atrium. The prognosis is poor in cases diagnosed before 26 weeks' gestation and when there is mediastinal shift, polyhydramnios and fetal hydrops. The ideal prenatal management option remains undefined. We present a series of three complicated cases of intralobar BPS treated prenatally with percutaneous ultrasound‐guided fetal sclerotherapy (FST). The feeding vessel was successfully accessed percutaneously under ultrasound guidance in all cases. FST with polidocanol resulted in complete obliteration of the blood flow to the mass. Abnormal Doppler findings, ascites, hydrops and polyhydramnios resolved and all patients were delivered at term. Antenatal treatment of patients with complicated BPS can be successfully achieved with FST, which is a simple and inexpensive technique. Comparison of risks and benefits of this approach with other techniques is warranted. Copyright © 2007 ISUOG. Published by John Wiley & Sons, Ltd.Keywords
This publication has 9 references indexed in Scilit:
- Fetal thoracoamniotic shunting as the only treatment for pulmonary sequestration with hydrops: favorable long-term outcome without postnatal surgeryUltrasound in Obstetrics & Gynecology, 2003
- Management of congenital lung lesionsSeminars in Pediatric Surgery, 2003
- A new approach to prenatal treatment of extralobar pulmonary sequestrationPrenatal Diagnosis, 2000
- New developments in fetal lung surgeryCurrent Opinion in Pediatrics, 1999
- Direct intrauterine fetal therapy in a case of bronchopulmonary sequestration associated with non-immune hydrops fetalisUltrasound in Obstetrics & Gynecology, 1999
- Spontaneous regression of fetal pulmonary sequestrationUltrasound in Obstetrics & Gynecology, 1995
- The Australian Polidocanol (Aethoxysklerol) StudyDermatologic Surgery, 1995
- Indications for the Sclerosing Agent PolidocanolThe Journal of Dermatologic Surgery and Oncology, 1993
- Antenatal sonographic findings of extralobar pulmonary sequestration.Journal of Ultrasound in Medicine, 1982