Single‐needle laser treatment with drainage of hydrothorax in fetal bronchopulmonary sequestration with hydrops
Bronchopulmonary sequestration (BPS) is sometimes associated with hydrothorax and hydrops in utero. In the absence of fetal hydrops, perinatal outcome is favorable and justifies expectant management. In the presence of fetal hydrops, perinatal outcome is reported to be extremely poor and interventio...
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| Veröffentlicht in: | Ultrasound in obstetrics & gynecology 2009-09, Vol.34 (3), p.355-357 |
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| container_title | Ultrasound in obstetrics & gynecology |
| container_volume | 34 |
| creator | Witlox, R. S. G. M. Lopriore, E. Walther, F. J. Rikkers‐Mutsaerts, E. R. V. M. Klumper, F. J. C. M. Oepkes, D. |
| description | Bronchopulmonary sequestration (BPS) is sometimes associated with hydrothorax and hydrops in utero. In the absence of fetal hydrops, perinatal outcome is favorable and justifies expectant management. In the presence of fetal hydrops, perinatal outcome is reported to be extremely poor and intervention should be considered. Therapeutic options include open fetal surgery, minimally invasive coagulation of the blood supply and thoracoamniotic shunting. We present the first case of fetal hydrops and a large hydrothorax due to BPS treated successfully with one ultrasound‐guided thin needle insertion, through which both laser coagulation of the feeding artery and drainage of the hydrothorax were performed. Following the procedure the hydrothorax and hydrops gradually disappeared and the BPS diminished in size. A healthy neonate was delivered uneventfully at term. We describe the case and discuss the different therapeutic options. Copyright © 2009 ISUOG. Published by John Wiley & Sons, Ltd. |
| doi_str_mv | 10.1002/uog.7316 |
| format | Article |
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S. G. M. ; Lopriore, E. ; Walther, F. J. ; Rikkers‐Mutsaerts, E. R. V. M. ; Klumper, F. J. C. M. ; Oepkes, D.</creator><creatorcontrib>Witlox, R. S. G. M. ; Lopriore, E. ; Walther, F. J. ; Rikkers‐Mutsaerts, E. R. V. M. ; Klumper, F. J. C. M. ; Oepkes, D.</creatorcontrib><description>Bronchopulmonary sequestration (BPS) is sometimes associated with hydrothorax and hydrops in utero. In the absence of fetal hydrops, perinatal outcome is favorable and justifies expectant management. In the presence of fetal hydrops, perinatal outcome is reported to be extremely poor and intervention should be considered. Therapeutic options include open fetal surgery, minimally invasive coagulation of the blood supply and thoracoamniotic shunting. We present the first case of fetal hydrops and a large hydrothorax due to BPS treated successfully with one ultrasound‐guided thin needle insertion, through which both laser coagulation of the feeding artery and drainage of the hydrothorax were performed. Following the procedure the hydrothorax and hydrops gradually disappeared and the BPS diminished in size. A healthy neonate was delivered uneventfully at term. We describe the case and discuss the different therapeutic options. Copyright © 2009 ISUOG. Published by John Wiley & Sons, Ltd.</description><identifier>ISSN: 0960-7692</identifier><identifier>ISSN: 1469-0705</identifier><identifier>EISSN: 1469-0705</identifier><identifier>DOI: 10.1002/uog.7316</identifier><identifier>PMID: 19681165</identifier><language>eng</language><publisher>Chichester, UK: John Wiley & Sons, Ltd</publisher><subject>Adult ; Arteries ; Biological and medical sciences ; Blood ; Blood coagulation ; Bronchopulmonary Sequestration - complications ; Bronchopulmonary Sequestration - diagnostic imaging ; Bronchopulmonary Sequestration - embryology ; Coagulation ; Diseases of mother, fetus and pregnancy ; Drainage ; Drainage - instrumentation ; Drainage - methods ; Edema ; Feeding ; Female ; fetal therapy ; Fetuses ; Gynecology ; Gynecology. Andrology. Obstetrics ; Humans ; hydrops ; Hydrops Fetalis - diagnostic imaging ; Hydrops Fetalis - etiology ; Hydrops Fetalis - surgery ; Hydrothorax - diagnostic imaging ; Hydrothorax - embryology ; Hydrothorax - therapy ; laser ; Laser Therapy - methods ; Lasers ; lung tumor ; Medical sciences ; minimally invasive ; Neonates ; Obstetrics ; Pneumology ; Pregnancy ; Pregnancy Outcome ; Pregnancy. Fetus. Placenta ; pulmonary sequestration ; Respiratory system : syndromes and miscellaneous diseases ; Surgery ; Ultrasonography, Interventional - methods ; Ultrasound</subject><ispartof>Ultrasound in obstetrics & gynecology, 2009-09, Vol.34 (3), p.355-357</ispartof><rights>Copyright © 2009 ISUOG. 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S. G. M.</creatorcontrib><creatorcontrib>Lopriore, E.</creatorcontrib><creatorcontrib>Walther, F. J.</creatorcontrib><creatorcontrib>Rikkers‐Mutsaerts, E. R. V. M.</creatorcontrib><creatorcontrib>Klumper, F. J. C. M.</creatorcontrib><creatorcontrib>Oepkes, D.</creatorcontrib><title>Single‐needle laser treatment with drainage of hydrothorax in fetal bronchopulmonary sequestration with hydrops</title><title>Ultrasound in obstetrics & gynecology</title><addtitle>Ultrasound Obstet Gynecol</addtitle><description>Bronchopulmonary sequestration (BPS) is sometimes associated with hydrothorax and hydrops in utero. In the absence of fetal hydrops, perinatal outcome is favorable and justifies expectant management. In the presence of fetal hydrops, perinatal outcome is reported to be extremely poor and intervention should be considered. Therapeutic options include open fetal surgery, minimally invasive coagulation of the blood supply and thoracoamniotic shunting. We present the first case of fetal hydrops and a large hydrothorax due to BPS treated successfully with one ultrasound‐guided thin needle insertion, through which both laser coagulation of the feeding artery and drainage of the hydrothorax were performed. Following the procedure the hydrothorax and hydrops gradually disappeared and the BPS diminished in size. A healthy neonate was delivered uneventfully at term. We describe the case and discuss the different therapeutic options. Copyright © 2009 ISUOG. Published by John Wiley & Sons, Ltd.</description><subject>Adult</subject><subject>Arteries</subject><subject>Biological and medical sciences</subject><subject>Blood</subject><subject>Blood coagulation</subject><subject>Bronchopulmonary Sequestration - complications</subject><subject>Bronchopulmonary Sequestration - diagnostic imaging</subject><subject>Bronchopulmonary Sequestration - embryology</subject><subject>Coagulation</subject><subject>Diseases of mother, fetus and pregnancy</subject><subject>Drainage</subject><subject>Drainage - instrumentation</subject><subject>Drainage - methods</subject><subject>Edema</subject><subject>Feeding</subject><subject>Female</subject><subject>fetal therapy</subject><subject>Fetuses</subject><subject>Gynecology</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>hydrops</subject><subject>Hydrops Fetalis - diagnostic imaging</subject><subject>Hydrops Fetalis - etiology</subject><subject>Hydrops Fetalis - surgery</subject><subject>Hydrothorax - diagnostic imaging</subject><subject>Hydrothorax - embryology</subject><subject>Hydrothorax - therapy</subject><subject>laser</subject><subject>Laser Therapy - methods</subject><subject>Lasers</subject><subject>lung tumor</subject><subject>Medical sciences</subject><subject>minimally invasive</subject><subject>Neonates</subject><subject>Obstetrics</subject><subject>Pneumology</subject><subject>Pregnancy</subject><subject>Pregnancy Outcome</subject><subject>Pregnancy. Fetus. Placenta</subject><subject>pulmonary sequestration</subject><subject>Respiratory system : syndromes and miscellaneous diseases</subject><subject>Surgery</subject><subject>Ultrasonography, Interventional - methods</subject><subject>Ultrasound</subject><issn>0960-7692</issn><issn>1469-0705</issn><issn>1469-0705</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp90ctu1DAUBmALgehQkHgC5A2CTcpx4luWqIKCVKkL6Dpy7JMZI8ee2ona2fEIPCNPQuYiuoKVN5__Y5-fkNcMLhhA_WFO6wvVMPmErBiXbQUKxFOyglZCpWRbn5EXpfwAAMkb-ZycsVZqxqRYkbtvPq4D_v75KyK6gDSYgplOGc00YpzovZ821GXjo1kjTQPd7FxO0yZl80B9pANOJtA-p2g3aTuHMUWTd7Tg3YxlymbyKR5DDhe35SV5NphQ8NXpPCe3nz99v_xSXd9cfb38eF1ZzpSsaiWMbVFrowTIHoD3wFttZK_VwJk2PUjdNyCE1c4yw3XNhNPWNc7hMIjmnLw75m5zOrylG32xGIKJmObSqYZDzRSrF_n-v5IBU8vCuNCP1OZUSsah22Y_Lh9eULevoluq6PZVLPTNKXXuR3SP8LT7Bbw9AVOsCUM20fry19VMKwnt3lVHd-8D7v45sLu9uToM_gPb4qJ8</recordid><startdate>200909</startdate><enddate>200909</enddate><creator>Witlox, R. S. G. M.</creator><creator>Lopriore, E.</creator><creator>Walther, F. J.</creator><creator>Rikkers‐Mutsaerts, E. R. V. M.</creator><creator>Klumper, F. J. C. M.</creator><creator>Oepkes, D.</creator><general>John Wiley & Sons, Ltd</general><general>Wiley</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>8FD</scope><scope>FR3</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>200909</creationdate><title>Single‐needle laser treatment with drainage of hydrothorax in fetal bronchopulmonary sequestration with hydrops</title><author>Witlox, R. S. G. M. ; Lopriore, E. ; Walther, F. J. ; Rikkers‐Mutsaerts, E. R. V. M. ; Klumper, F. J. C. 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S. G. M.</au><au>Lopriore, E.</au><au>Walther, F. J.</au><au>Rikkers‐Mutsaerts, E. R. V. M.</au><au>Klumper, F. J. C. M.</au><au>Oepkes, D.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Single‐needle laser treatment with drainage of hydrothorax in fetal bronchopulmonary sequestration with hydrops</atitle><jtitle>Ultrasound in obstetrics & gynecology</jtitle><addtitle>Ultrasound Obstet Gynecol</addtitle><date>2009-09</date><risdate>2009</risdate><volume>34</volume><issue>3</issue><spage>355</spage><epage>357</epage><pages>355-357</pages><issn>0960-7692</issn><issn>1469-0705</issn><eissn>1469-0705</eissn><abstract>Bronchopulmonary sequestration (BPS) is sometimes associated with hydrothorax and hydrops in utero. In the absence of fetal hydrops, perinatal outcome is favorable and justifies expectant management. In the presence of fetal hydrops, perinatal outcome is reported to be extremely poor and intervention should be considered. Therapeutic options include open fetal surgery, minimally invasive coagulation of the blood supply and thoracoamniotic shunting. We present the first case of fetal hydrops and a large hydrothorax due to BPS treated successfully with one ultrasound‐guided thin needle insertion, through which both laser coagulation of the feeding artery and drainage of the hydrothorax were performed. Following the procedure the hydrothorax and hydrops gradually disappeared and the BPS diminished in size. A healthy neonate was delivered uneventfully at term. We describe the case and discuss the different therapeutic options. Copyright © 2009 ISUOG. Published by John Wiley & Sons, Ltd.</abstract><cop>Chichester, UK</cop><pub>John Wiley & Sons, Ltd</pub><pmid>19681165</pmid><doi>10.1002/uog.7316</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 0960-7692 |
| ispartof | Ultrasound in obstetrics & gynecology, 2009-09, Vol.34 (3), p.355-357 |
| issn | 0960-7692 1469-0705 1469-0705 |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Wiley Free Content |
| subjects | Adult Arteries Biological and medical sciences Blood Blood coagulation Bronchopulmonary Sequestration - complications Bronchopulmonary Sequestration - diagnostic imaging Bronchopulmonary Sequestration - embryology Coagulation Diseases of mother, fetus and pregnancy Drainage Drainage - instrumentation Drainage - methods Edema Feeding Female fetal therapy Fetuses Gynecology Gynecology. Andrology. Obstetrics Humans hydrops Hydrops Fetalis - diagnostic imaging Hydrops Fetalis - etiology Hydrops Fetalis - surgery Hydrothorax - diagnostic imaging Hydrothorax - embryology Hydrothorax - therapy laser Laser Therapy - methods Lasers lung tumor Medical sciences minimally invasive Neonates Obstetrics Pneumology Pregnancy Pregnancy Outcome Pregnancy. Fetus. Placenta pulmonary sequestration Respiratory system : syndromes and miscellaneous diseases Surgery Ultrasonography, Interventional - methods Ultrasound |
| title | Single‐needle laser treatment with drainage of hydrothorax in fetal bronchopulmonary sequestration with hydrops |
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