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Fetoscopic tracheal occlusion for treatment of non‐isolated congenital diaphragmatic hernia
Author(s) -
Seravalli Viola,
Jelin Eric B.,
Miller Jena L.,
Tekes Aylin,
Vricella Luca,
Baschat Ahmet A.
Publication year - 2017
Publication title -
prenatal diagnosis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.956
H-Index - 97
eISSN - 1097-0223
pISSN - 0197-3851
DOI - 10.1002/pd.5139
Subject(s) - congenital diaphragmatic hernia , medicine , context (archaeology) , diaphragmatic breathing , fetoscopy , prenatal diagnosis , surgery , diaphragmatic hernia , occlusion , hernia , fetus , pregnancy , pathology , paleontology , genetics , alternative medicine , biology
Fetoscopic endotracheal occlusion (FETO) is a prenatal treatment that may increase survival in severe congenital diaphragmatic hernia (CDH). In the USA, FETO is offered for isolated severe left‐sided CDH in the context of an FDA‐approved feasibility study. FETO in non‐isolated cases of severe CDH is only performed with a compassionate use exemption from US regulatory bodies. Anomalies frequently associated with CDH include congenital cystic lesions of the lung and cardiac defects. We describe two cases of non‐isolated severe left‐sided CDH that underwent prenatal FETO, survived after birth and underwent postnatal surgical repair. The potential benefit of FETO in this setting is discussed. © 2017 John Wiley & Sons, Ltd.