title: Median sternotomy as an exit procedure in a child with massive pericardial tumor.
abstract: Fetuses can survive with complete airway obstruction caused by placental gas exchange until birth when full ventilatory function is required. The authors present a case in which prenatal scans suggested that adequate ventilation would not be achievable because of the presence of an intrathoracic tumor. An EXIT procedure (exutero intrapartum treatment) was therefore performed, which permitted sufficient lung expansion for adequate ventilation.
authors.affiliation: Department of Paediatric Cardiac Surgery, Bristol Royal Hospital for Children, Bristol, UK.
authors.forename: Andrew J
authors.initials: AJ
authors.lastname: Parry
authors.forename: Stephen
authors.initials: S
authors.lastname: Carroll
authors.forename: Attilio
authors.initials: A
authors.lastname: Lotto
authors.forename: Andrew
authors.initials: A
authors.lastname: Wolf
authors.forename: Andrew J P
authors.initials: AJ
authors.lastname: Tometzki
authors.forename: Peter
authors.initials: P
authors.lastname: Soothill
mesh_terms: D000328:Adult; D000402:Airway Obstruction / Q000151:congenital / Q000209:etiology*; D001706:Biopsy; D002303:Cardiac Output, Low / Q000209:etiology; D002585:Cesarean Section; D017809:Fatal Outcome; D005260:Female; D005315:Fetal Diseases / Q000175:diagnosis / Q000473:pathology / Q000628:therapy; D005318:Fetal Heart / Q000196:embryology; D005865:Gestational Age; D006338:Heart Neoplasms / Q000150:complications / Q000000981:diagnostic imaging / Q000196:embryology / Q000601:surgery* / Q000628:therapy; D006346:Heart Septum / Q000473:pathology; D006352:Heart Ventricles / Q000473:pathology; D006801:Humans; D007231:Infant, Newborn; D007442:Intubation, Intratracheal; D053685:Laser Therapy; D008168:Lung / Q000196:embryology; D008297:Male; D009361:Neoplasm Invasiveness; D010496:Pericardium / Q000196:embryology / Q000473:pathology* / Q000601:surgery; D006831:Polyhydramnios; D011225:Pre-Eclampsia; D011247:Pregnancy; D011663:Pulmonary Surfactants / Q000008:administration & dosage / Q000627:therapeutic use; D012207:Rhabdomyoma / Q000150:complications / Q000196:embryology / Q000601:surgery* / Q000628:therapy; D013249:Sternum / Q000601:surgery*; D016216:Ultrasonography, Prenatal
chemical_list: D011663:Pulmonary Surfactants