Thoracoamniotic shunt for fetal hydrothorax: A case report

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We report a case of massive unilateral hydrothorax diagnosed in an 18-weeks-old fetus with a normal karyotype. The fetus was severely affected by hydrops and bradycardia since week 24. Initially, we performed pleurodesis, but the hydrothorax worsened and evolved into hydrops, so we proceeded to inse...

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Detalles Bibliográficos
Autores: Huertas Tacchino, Erasmo, Hijar Sifuentes, Adelita, Elias Estrada, José Carlos, Huerta Sáenz, Igor, Florez Mendoza, Armando
Formato: artículo
Fecha de Publicación:2019
Institución:Sociedad Peruana de Obstetricia y Ginecología
Repositorio:Revista SPOG - Revista Peruana de Ginecología y Obstetricia
Lenguaje:español
OAI Identifier:oai:ojs.spog:article/2159
Enlace del recurso:http://www.spog.org.pe/web/revista/index.php/RPGO/article/view/2159
Nivel de acceso:acceso abierto
Descripción
Sumario:We report a case of massive unilateral hydrothorax diagnosed in an 18-weeks-old fetus with a normal karyotype. The fetus was severely affected by hydrops and bradycardia since week 24. Initially, we performed pleurodesis, but the hydrothorax worsened and evolved into hydrops, so we proceeded to insert a transplacental thoracoamniotic shunt. Improvement was evident one week after the procedure, and the hydrothorax resolved during the remainder of the pregnancy. Following cesarean delivery at 37 weeks, the neonate required prolonged NICU stay. He was discharged after two months and remains stable until the present time.
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