Successful thoracoamniotic shunting using a double-flower catheter in a case of fetal cystic adenomatoid malformation associated with hydrops and polyhydramnios.
We describe a case of congenital cystic adenomatoid malformation treated by thoracoamniotic shunting using a double-flower catheter. An ultrasound examination at 25 weeks' gestation revealed a cystic mass within the fetal thoracic cavity, hydrops and polyhydramnios. Thoracoamniotic shunting under ultrasound guidance using a double-flower catheter was performed at 27 weeks. The procedure not only decompressed the lung cyst but also improved the secondary physiological changes, i.e. mediastinal shift, hydrops and polyhydramnios. A 2438-g male neonate was delivered at 37 weeks with no respiratory problems and resection of the right lower pulmonary lobe was successfully performed 24 h after birth.
Ryo
E
E
Department of Obstetrics and Gynecology, Faculty of Medicine, University of Tokyo, Japan.
Okai
T
T
Namba
S
S
Okagaki
R
R
Kikuchi
A
A
Kozuma
S
S
Yoshikawa
H
H
Taketani
Y
Y
D000328:Adult; D002404:Catheterization / Q000295:instrumentation* / Q000379:methods; D015615:Cystic Adenomatoid Malformation of Lung, Congenital / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D004322:Drainage / Q000295:instrumentation / Q000379:methods; D005260:Female; D006801:Humans; D015160:Hydrops Fetalis / Q000150:complications* / Q000000981:diagnostic imaging; D007231:Infant, Newborn; D008297:Male; D006831:Polyhydramnios / Q000150:complications* / Q000000981:diagnostic imaging; D011247:Pregnancy; D016216:Ultrasonography, Prenatal