Jinekoloji-obstetrik ve neonatoloji tıp dergisi, vol.11, no.4, pp.136-139, 2014 (Other Refereed National Journals)
Thoracoamniotic shunt procedure: Review of 10 cases at a tertiary setting
Aim: To review the perinatal outcome in fetal thoracoamniotic shunt procedures.
Material and Methods: Thoracoamniotic shunt-treated cases were screened retrospectively between 2008-2013. The current status of the parents of the newborn
was learned by phone interview.
Results: The study included 10 patients in whom thoracoamniotic shunt was inserted. Fetal diseases requiring thoracoamniotic shunt procedure were primary pleural
effusion in 9 (90%) cases and type 1 congenital cystic adenomatoid malformation (CCAM) in 1(10 %) case. In 2 cases (20%) the procedure was repeated due to
dislodgement of the shunt. Fetal loss was observed in 1 case after the procedure. 3 fetuses died in the neonatal period and infancy. There were four cases of preterm
delivery and 2 cases of fetal hydrops during follow-up. It was learned that neonate with CCAM had been operated at 1st week postpartum and there is currently no
additional problem. No complications occurred in the remaining cases in the newborn period.
Conclusion: Thoracoamniotic shunt procedure might have a positive influence on perinatal outcomes in fetuses with hydrothorax. Therefore, the family should be offered this procedure as an intrauterine fetal treatment option in fetuses with hydrothorax.
Key Words: Fetal hydrothorax, thoracoamniotic shunt, perinatal outcome.