Fetal thoracic and bladder shunts.
Congenital obstructive lesions involving the bladder and the lung can lead to serious complications for the newborn. The in-utero placement of a diverting shunt in the fetal bladder or thoracic cavity can decrease the morbidity and mortality associated with these obstructive conditions. This review focuses on the indications for prenatal evaluation, technique, and outcomes for those fetuses with a lower urinary tract obstruction, congenital pleural effusion or macrocystic congenital cystic adenomatoid malformation after placement of a vesicoamniotic or thoracoamniotic shunt.
Mann
Stephanie
S
Center for Fetal Diagnosis and Treatment, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania 19104, USA. manns@email.chop.edu
Johnson
Mark P
MP
Wilson
R Douglas
RD
D000714:Anastomosis, Surgical / Q000379:methods*; D015615:Cystic Adenomatoid Malformation of Lung, Congenital / Q000000981:diagnostic imaging / Q000601:surgery; D005260:Female; D005315:Fetal Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D005333:Fetus / Q000601:surgery*; D006801:Humans; D008173:Lung Diseases, Obstructive / Q000151:congenital / Q000000981:diagnostic imaging / Q000601:surgery*; D010996:Pleural Effusion / Q000151:congenital / Q000601:surgery; D011247:Pregnancy; D016896:Treatment Outcome; D016216:Ultrasonography, Prenatal; D014524:Urethral Obstruction / Q000151:congenital / Q000000981:diagnostic imaging / Q000601:surgery*