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Grayscale and Doppler sonographic evaluation of response to in utero treatment of hydrops fetalis caused by extralobar pulmonary sequestration
Author(s) -
Yoshitomi Tomoyuki,
Hidaka Nobuhiro,
Yumoto Yasuo,
Fukushima Kotaro,
Tsukimori Kiyomi,
Wake Norio
Publication year - 2012
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/jcu.20882
Subject(s) - hydrops fetalis , pulmonary sequestration , medicine , hydrothorax , fetus , bronchopulmonary sequestration , lung , radiology , pregnancy , ascites , genetics , biology
Pulmonary sequestration is defined as nonfunctional lung tissue that lacks communication with the bronchial tree and that is supplied by an anomalous systemic vessel. In comparatively rare cases, pulmonary sequestration may lead to hydrothorax or hydrops fetalis, which is nearly universally fatal. In this report, we describe a case of pulmonary sequestration with hydrops fetalis, which was successfully treated by thoracoamniotic shunting. A sonographic Doppler study in this case suggested that the underlying mechanism of the hydropic change in a fetus with extralobar pulmonary sequestration may have differed from that in fetuses with primary hydrothorax not associated with a structural anomaly. © 2011 Wiley Periodicals, Inc. J Clin Ultrasound, 2011;