Unexpected tracheal agenesis with prenatal diagnosis of aortic coarctation, lung hyperecogenicity and polyhydramnios: a case report.
Alessandro PerriMaria Letizia PattiAnnamaria SbordoneGiovanni VentoRita LucianoPublished in: Italian journal of pediatrics (2020)
TA is not always diagnosed in the fetus and it may present unexpectedly making the neonate's management at birth critical. An effective rescue temporary oxygenation may be obtained with mask ventilation or oesophageal intubation in those cases of TA associated with a TOF. We suggest to consider a fetal magnetic resonance imaging (MRI) when the association polyhydramnios/lung hyperechogenicity occurs, even in the absence of CHAOS or other malformations. Once a diagnosis is provided, the mother should be transferred to selected centres where an ex-utero intrapartum procedure (EXIT) can be attempted. Moreover, despite high mortality, different surgical management are described to improve survival.
Keyphrases
- magnetic resonance imaging
- contrast enhanced
- mass spectrometry
- computed tomography
- ms ms
- cardiac arrest
- aortic valve
- diffusion weighted imaging
- cardiovascular events
- left ventricular
- type diabetes
- blood flow
- pulmonary artery
- coronary artery disease
- cardiovascular disease
- risk factors
- gestational age
- respiratory failure
- heart failure
- coronary artery
- aortic dissection
- intensive care unit
- acute respiratory distress syndrome
- pregnancy outcomes
- pulmonary arterial hypertension