Prise en charge prénatale d’un tératome péricardique par drainage péricardio-amniotique : présentation d’un cas

Ouldamer, Lobna; Wagner, Andreas; Potin, J.; Poinsot, J.; Perrotin, F.

doi:10.1016/j.jgyn.2011.07.003

Cited by 4 publications

(2 citation statements)

References 38 publications

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“…Thereby, we identified 5 cases with pericardial teratoma in which a pericardio-amniotic shunt was successfully placed [5,6,7,8,9]. One fetus died in utero 8 days after the intervention and one died due to premature delivery 1 1 / 2 weeks after the intervention.…”

Section: Discussionmentioning

confidence: 99%

Pericardio-Amniotic Shunting for Incomplete Pentalogy of Cantrell

et al. 2017

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A 27-year-old woman, gravida 2, para 0, presented with an incomplete Pentalogy of Cantrell with an omphalocele, diaphragmatic hernia, and a pericardial defect at 32 weeks' gestation. A large pericardial effusion compressed the lungs and had led to a reduced lung growth with an observed-to-expected total lung volume of 28% as measured by MRI. The effusion disappeared completely after the insertion of a pericardio-amniotic shunt at 33 weeks. After birth, the newborn showed no signs of pulmonary hypoplasia and underwent a surgical correction of the defect. Protracted wound healing and a difficult withdrawal from opioids complicated the neonatal period. The child was discharged on postnatal day 105 in good condition. This case demonstrates that in case of Pentalogy of Cantrell with large pericardial effusion, the perinatal outcome might be improved by pericardio-amniotic shunting.

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Section: Discussionmentioning

confidence: 99%

Pericardio-Amniotic Shunting for Incomplete Pentalogy of Cantrell

et al. 2017

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“…(18)(19)(20)(21) Cardiac output for the right and left ventricle was estimated by pulsed wave Doppler interrogation through the pulmonary and aortic valves, respectively, using the formula: flow = [3.14 × semilunar valve radius2 × velocity-time integral × heart rate] / estimated weight in kilograms , the normal combined right and left cardiac output in the fetus is 400 to 500 ml / kg / min. (20)(21)(22)(23)(24) FETAL PULMONARY ARTERY: its measurement under fetal Doppler ultrasound is a predictor of neonatal respiratory distress, its diagnosis is evaluated by measuring the pulsatility index (PI), resistance index (IR) and the relationship between acceleration time and execution time (TA / TE) , while for now the pulsatility indices (IP) and resistance index (IR) do not show a greater contribution, the relationship between acceleration time and execution time (TA / TE) a cut-off point> 0.3 refers to prognostic sensitivity. (25) CYSTIC ADENOID: Pulmonary cystic adenoid malformation (CCAM) is a rare abnormality of lung development, in most diagnosed cases the lesion is unilateral and in a single lung lobe, this pathology does not benefit from Doppler ultrasound.…”

Section: Supradiagrammatic Vascular Anomalies Right Opening Subclavia Artery (Asda)mentioning

confidence: 99%

Applicability of Fetal Doppler Ultrasound to Identify Alterations Suggestive of Extra-Cardiac Anomalies (First Part)

Daniela¹,

Janet

Daniel

et al. 2020

PIJR

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Introduction: Fetal Doppler ultrasound is the method of choice to identify alterations that put the fetus at risk;this tool has revolutionized the traditional conception of Perinatology as it gives the opportunity to understand that the pathophysiological process of the sick fetus presents a hemodynamic deterioration. Objective: To describe the applicability of fetal Doppler ultrasound in the main extra cardiac anomalies. Methods: Bibliographic review of scientific articles published in Spanish and English and their corresponding validation under CASPe and PRISMA tools. Results: A bibliographic analysis of 92 citations was carried out under the aforementioned systematic search in which the main fetal anomalies were separated under the supradiaphragmatic, infradiaphragmatic and cerebral concept. Conclusion: There are a limited literature regarding Doppler ultrasound evaluation in relation to extra-cardiac anomalies,and among them there are discrepancies in the findings found between various authors.

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