Intrauterine fetal resuscitation following complications of closed fetal surgery.
BACKGROUND
With advances in prenatal diagnosis and surgical technique more fetal interventions are being performed. There are limited data about the etiology, incidence, management, or long-term outcomes of complications associated with these procedures.


METHODS
A gravida had a fetus diagnosed with posterior urethral valve syndrome. During placement of a peritoneal-amniotic shunt, profound fetal bradycardia was noted. Using closed fetal surgical techniques successful resuscitation was accomplished.


CONCLUSIONS
Closed fetal surgical interventions carry the potential for significant complications of varying etiologies. Resuscitation can be accomplished. Preparation for potential complications may improve outcome.
Department Obstetrics and Gynecology, Keesler Medical Center, Keesler Air Force Base, Biloxi, MS, USA.
Steven S
SS
Brumfield
M Bardett
MB
Fausett
Melissa H
MH
Fries
D000328:Adult; D001919:Bradycardia / Q000209:etiology / Q000628:therapy; D005260:Female; D005315:Fetal Diseases / Q000601:surgery*; D006801:Humans; D007431:Intraoperative Complications / Q000209:etiology / Q000628:therapy*; D011247:Pregnancy; D012151:Resuscitation / Q000379:methods*; D014521:Urethra / Q000002:abnormalities* / Q000601:surgery; D014524:Urethral Obstruction / Q000601:surgery*