Antenatal assessment and postnatal outcome of fetal echogenic lung lesions: a decade’s experience at a tertiary referral hospital
| Autor: | Karen Reidy, Helen Kaganov, Stefan C. Kane, Fabricio da Silva Costa, J. Crameri, Ricardo Palma-Dias |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male Pediatrics medicine.medical_specialty Bronchi Prenatal diagnosis Tertiary referral hospital Ultrasonography Prenatal Tertiary Care Centers Young Adult 03 medical and health sciences 0302 clinical medicine Pregnancy 030225 pediatrics Hydrops fetalis medicine Humans Pulmonary pathology Retrospective Studies Fetus 030219 obstetrics & reproductive medicine Lung business.industry Infant Newborn Infant Obstetrics and Gynecology Congenital pulmonary airway malformation Retrospective cohort study respiratory system medicine.disease respiratory tract diseases medicine.anatomical_structure Pediatrics Perinatology and Child Health Female Respiratory System Abnormalities business |
| Zdroj: | The Journal of Maternal-Fetal & Neonatal Medicine. 32:703-709 |
| ISSN: | 1476-4954 1476-7058 |
| DOI: | 10.1080/14767058.2017.1388367 |
| Popis: | Fetal echogenic lung lesions (ELL) are the commonest pulmonary pathology diagnosed on antenatal sonography, and include congenital pulmonary airway malformations (CPAMs) and bronchopulmonary sequestrations. This study aimed to evaluate the predictive utility of the CPAM volume ratio (CVR) at presentation in a series of fetuses with ELLs at a tertiary Australian referral hospital.Retrospective cohort study of all pregnancies with a prenatal diagnosis of an isolated fetal echogenic lung lesion managed at the Royal Women's Hospital, Victoria, Australia, between 2005 and 2015. Data were obtained from electronic ultrasound image databases and medical records.Sixty-five cases were included in the final analysis. The mean gestation at presentation was 22 weeks and 6 d, and the mean CVR was 0.66. Hydrops was evident in four cases at presentation, and did not develop subsequently in any other case. Significant perinatal concerns - fetal/neonatal demise, hydrops, requirement for neonatal intubation/ventilation, or surgery in the first year of life - did not occur with or following a CVR at presentation of0.45. The survival rate at 1 year was 95%.The CVR is a potentially useful tool to assess all fetal ELLs, and not just those presumed to be CPAMs. A CVR at presentation of0.45 was associated with favourable outcomes. |
| Databáze: | OpenAIRE |
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