Constriction band of the arm following insertion of a pleuro-amniotic shunt.
In a 23-week fetus with a large left-sided pleural effusion a double pigtail pleuro-amniotic shunt was inserted uneventfully. A healthy infant was delivered at 38 weeks' gestation. One end of the shunt was in the thoracic cavity but the other end was found wrapped around the upper arm resulting in a constriction band. There was no impairment of the vascular supply to the limb or in its motor or sensory function and by 6 months of age there was only a faint ring still apparent around the upper arm.
Brown
R
R
Harris Birthright Research Centre for Fetal Medicine, King's College Hospital, London, UK.
Nicolaides
K
K
D000652:Amniotic Band Syndrome / Q000209:etiology*; D000653:Amniotic Fluid; D001132:Arm; D002408:Catheters, Indwelling / Q000009:adverse effects*; D004322:Drainage / Q000009:adverse effects / Q000295:instrumentation; D005260:Female; D005315:Fetal Diseases / Q000601:surgery*; D006801:Humans; D007231:Infant, Newborn; D010994:Pleura; D010996:Pleural Effusion / Q000601:surgery*; D011247:Pregnancy