Severe Hypoproteinemia in a Fetus after Pleuro-Amniotic Shunts with Double-Basket Catheters for Treatment of Chylothorax
| Autor: | Akio Izumi, Ikuo Sato, Hirohiko Shiraishi, Hisanori Minakami, Toshimitsu Koike, Shuichi Kosuge |
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| Rok vydání: | 2000 |
| Předmět: |
Adult
Polyhydramnios medicine.medical_specialty medicine.medical_treatment Chylothorax Catheterization Hypoproteinemia Pulmonary hypoplasia Fatal Outcome Pregnancy medicine Humans Amnion Ultrasonography Fetus business.industry Fetal surgery Infant Newborn Obstetrics and Gynecology medicine.disease Surgery Pleural Effusion Fetal Diseases Pregnancy Trimester Second Anesthesia embryonic structures Hydrothorax Pleura Gestation Female business |
| Zdroj: | Journal of Obstetrics and Gynaecology Research. 26:373-376 |
| ISSN: | 1447-0756 1341-8076 |
| DOI: | 10.1111/j.1447-0756.2000.tb01342.x |
| Popis: | The prognosis of a fetus with hydrothorax at mid-trimester is extremely poor. We encountered a fetus who developed bilateral chylothoraxes at 23 weeks of gestation. Bilateral pleuroamniotic shunts with double-basket catheters were successfully installed at 25 weeks of gestation. Hydrothorax did not recur in this fetus. After the shunting, however, polyhydroamnios, fetal hypoproteinemia, and placental edema developed, and the hydrops worsened. The drainage of the fetal pleural effusion into the amniotic cavity was believed to have contributed to these complications. The infant, born at 29 weeks of gestation, died of cardiac failure and pulmonary hypoplasia. Thus, the shunts did not ameliorate the adverse conditions in this patient. |
| Databáze: | OpenAIRE |
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