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Severe Hypoproteinemia in a Fetus after Pleuro‐Amniotic Shunts with Double‐Basket Catheters for Treatment of Chylothorax
Author(s) -
Koike Toshimitsu,
Minakami Hisanori,
Kosuge Shuichi,
Izumi Akio,
Shiraishi Hirohiko,
Sato Ikuo
Publication year - 2000
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/j.1447-0756.2000.tb01342.x
Subject(s) - medicine , hydrops fetalis , hydrothorax , hypoproteinemia , fetus , chylothorax , gestation , chyle , pulmonary hypoplasia , pleural effusion , surgery , amniotic fluid , effusion , thoracic cavity , obstetrics , pregnancy , complication , ascites , genetics , biology
The prognosis of a fetus with hydrothorax at mid‐trimester is extremely poor. We encountered a fetus who developed bilateral chylothoraxes at 23 weeks of gestation. Bilateral pleuro‐amniotic shunts with double‐basket catheters were successfully installed at 25 weeks of gestation. Hydrothorax did not recur in this fetus. After the shunting, however, polyhydroamnios, fetal hypoproteinemia, and placental edema developed, and the hydrops worsened. The drainage of the fetal pleural effusion into the amniotic cavity was believed to have contributed to these complications. The infant, born at 29 weeks of gestation, died of cardiac failure and pulmonary hypoplasia. Thus, the shunts did not ameliorate the adverse conditions in this patient.