EXIT procedure: a case report.
The EXIT (Ex-Utero Intrapartum Treatment) procedure is an extremely valuable tool in providing time to secure the airway in infants with large fetal neck masses and abnormalities of the upper airway which impede resuscitation. The fetus is partially delivered while maintaining utero-placental-fetal circulation. We report the use of this technique in a case of huge cystic hygromas of the neck and chest due to a nuchal bleb-lethal dysplasia. Although severe pulmonary hypoplasia precluded an optimal outcome, this report shows that this procedure is technically feasible. We believe this to be the first case performed and reported in Louisiana.
Gershanik
Juan J
JJ
Tulane School of Medicine, and Neonatal Intensive Care Unit, West Jefferson Medical Center, New Orleans, Louisiana, USA.
Lacassie
Yves
Y
Sargent
William
W
Thelin
Olivier
O
Florez
Luisa
L
Dildy
Gary A
GA
D000015:Abnormalities, Multiple; D000328:Adult; D000402:Airway Obstruction / Q000151:congenital* / Q000000981:diagnostic imaging; D002585:Cesarean Section / Q000379:methods*; D002916:Chylothorax / Q000151:congenital* / Q000000981:diagnostic imaging; D017809:Fatal Outcome; D005260:Female; D006258:Head and Neck Neoplasms / Q000151:congenital* / Q000000981:diagnostic imaging; D006801:Humans; D007231:Infant, Newborn; D018191:Lymphangioma, Cystic / Q000151:congenital* / Q000000981:diagnostic imaging; D008297:Male; D011247:Pregnancy; D016216:Ultrasonography, Prenatal