Successful Treatment of Primary Fetal Hydrothorax with a Double Basket Catheter

ABSTRACT

Fetal pleural effusions can sometimes be detected before birth with ultrasonography. Intervention may be warranted when there is a condition that results in hydroplastic lung and/or fetal hydrops. A 22-week-old fetus with a severe pleural effusion and hydrops was successfully treated by long-term pleural drainage with a double basket catheter from 22 to 39 weeks of gestation.

Primary fetal hydrothorax - fetal intervention - thracoamniotic shunting

REFERENCES

• 1 Longaker M T, Laberge J M, Dansereau J. Primary fetal hydrothrax: natural history and management.  J Pediatr Surg . 1989;  24 573-576
• 2 Saltzman D H, Frigoletto F D, Harlow B L. Sonographic evaluation of hydrops fetalis.  Obstet Gynecol . 1989;  74 106-111
• 3 Petres R E, Redwine F O, Cruikshank D P. Congenital bilateral chylothorax: antepartum diagnosis and successful intrauterin surgical management.  JAMA . 1982;  248 1360-1361
• 4 Weber A M, Philipson E H. Fetal pleural effusion: a review and meta-analysis for prognostic indicators.  Obstet Gynecol . 1992;  79 281-286
• 5 Hagay Z, Reece A, Roberts A. Isolated fetal pleural effusion: a prenatal management dilemma.  Obstet Gynecol . 1993;  81 147-152
• 6 Nicliades K H, Azar G B. Thoraco-amniotic shunting.  Fetal Diagn Ther . 1990;  5 153-164
• 7 Benacerraf B R, Frigoletto F D. Mid-trimester fetal thoracentesis.  J Clin Ultrasound . 1985;  13 202-204
• 8 Van Aerde J, Campbell A N, Smyth J A. Spontaneous chylothorax in newborns.  Am J Dis Child . 1984;  138 961-964
• 9 Chiba Y, Kobayashi H, Kanzaki T. Clonical aspects of fetal obstructive uropathy with in utero estimation of renal function and intrauterine shunt placement.  J Matern Fetal Invest . 1993;  3 225-231
• 10 Castillo R A, Devoe L D, Falls G. Pleural effusions and pulmonary hypoplasia.  Am J Obstet Gynecol . 1987;  157 1252-1255
• 11 Harrison M R, Bressack M A, Churg A M. Correction of congenital diaphragmatic hernia in utero II: simulated correction permits fetal lung growth with survival at birth.  Surgery . 1980;  88 260-268
• 12 Tomashefski Jr J F, Vawter G F, Ried L M. Pathological observations on the infants who do not survive the respiratory distress. In: Nelson GH, ed. Pulmonary Development: Transition from Intrauterine to Extrauterine Life New York: Marcel Dekker 1985: 387-429
• 13 Lange I R, Manning F A. Antenatal diagnosis of congenital pleural effusions.  Am J Obstet Gynecol . 1981;  140 839-840
• 14 Hislop A, Reid L. Persistent hypoplasia of the lung after repair of congenital diaphragmatic hernis.  Thorax . 1976;  31 450-455
• 15 Rodeck C H, Risk N M, Fraser D I. Long-term in utero drainage of fetal hydrothrax.  N Engl J Med . 1988;  319 1135-1138
• 16 Blanch G, Walkinshaw S A, Hawdon J M. Internalization of pleuroamniotic shunt causing neonatal demise.  Fetal Diagn Ther . 1996;  11 32-36
• 17 Blott M, Nicolides K H, Greenough A. Pleuroamniotic shunting for decompression of fetal pleural effusions.  Obstet Gynecol . 1988;  71 798-800
• 18 Becker R, Arabin B, Noval A. Successful treatment of primary fetal hyrothrax by long-time drainage from week 23.  Fetal Diag Ther . 1993;  8 331-337
• 19 Seeds J W, Bowes Jr A W. Results of treatment of severe fetal hydrothrax with bilateral pleuroamniotic catheters.  Obstet Gynecol . 1986;  68 577-580
• 20 Wittman B K, Martin K A, Wilson R D. Complications of long-term drainage of fetal pleural effusion: case report and review of the literature.  Am J Perinatol . 1997;  14 443-447
• 21 Shaaban A F, Kim H B, Milner R, Crombleholme T. The role of ultrasonography in fetal surgery and invasive fetal procedures.  Semin Roentgenol . 1999;  34 62-77
• 22 Aguirre O A, Finley B E, Ridgway III E L. Resolution of unilateral fetal hydrothorax with associated non-immune hydrops after intrauterine thoracentesis.  Ultrasound Obstet Gynecol . 1995;  5 346-348
• 23 Maeda H, Nagata H, Tsukimori K. Prenatal evaluation and obstetrical management of fetuses at risk of developing lung hypoplasia.  J Perinat Med . 1993;  21 355-361