title: Thoracoscopic removal of retained thoracoamniotic shunt catheters in newborns.
abstract: Fetal hydrothorax is associated with significant mortality. However, the development of fetal thoracoamniotic shunting has reduced the mortality rate. Fetal thoracoamniotic shunting can be characterized by significant complications, such as intrathoracic dislodgement of the catheter. The ideal management of dislodged catheters postnatally is not known. We report two newborns with a prenatal diagnosis of fetal hydrothorax who underwent thoracoamniotic shunting complicated by intrathoracic dislodgement of the catheters requiring thoracoscopic removal of the shunts in the neonatal period.
authors.affiliation: Neonatal Surgery Unit, Center of Perinatal Surgery, Department of Pediatric Surgery, IRCCS Ca' Granda Foundation, Maggiore Policlinico Hospital , Milan, Italy .
authors.forename: Francesco
authors.initials: F
authors.lastname: Macchini
authors.forename: Valerio
authors.initials: V
authors.lastname: Gentilino
authors.forename: Anna
authors.initials: A
authors.lastname: Morandi
authors.forename: Ernesto
authors.initials: E
authors.lastname: Leva
mesh_terms: D057785:Catheters / Q000009:adverse effects*; D020878:Device Removal / Q000379:methods*; D004868:Equipment Failure; D005260:Female; D005333:Fetus; D006801:Humans; D006876:Hydrothorax / Q000000981:diagnostic imaging / Q000601:surgery*; D007231:Infant, Newborn; D008297:Male; D011247:Pregnancy; D019736:Prostheses and Implants / Q000009:adverse effects*; D011859:Radiography; D013906:Thoracoscopy / Q000295:instrumentation / Q000379:methods*