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- W4254236574 abstract "A 36-year-old multipara G3P2 Lch2 was referred to our perinatal unit in Shariati hospital, Tehran@ 28 weeks of gestation because of hydrops fetalis and polyhydramniosis. The ultrasound exam revealed a growth retarded fetus with AEDF, a hyper echogenic mass in left hemi thorax, left sided pleural effusion with a shift to right side of thorax and polyhydramniosis with a maximum pocket of 12 cm. The mass was 35x30 mm in size and was placed in the mid portion of the left lung. During colour Doppler ultrasound exam a vessel arising from the descending aorta, which supplied this mass was visualised. The diagnosis of extralobar pulmonary sequestration was made. No other anomalies were seen. The parents gave consent to laser ablation of the feeding vessel. Laser coagulation of the feeding systemic artery of the sequestration was performed under ultrasound guidance. (Nd- YAG laser through an 18 gauge Shiba needle, with 5 shot for 5-10 of 5o W under spinal anesthesia) The blood flow to the lung mass was successfully arrested. Hydrops fetalis, polyhydramniosis and pleural effusion resolved. Six weeks later the mass was 10x15 mm in size. The lady delivered a 2350g neonate @ 37 weeks of gestation. The chest X-ray was normal. No nails were seen on fingers and toes except on the thumbs and the distal phalanx of the 5th digit of the left hand were absent. Since there was no such history in the family we think it may be due to fetal hypo perfusion because of hydrops fetalis. Otherwise the child had no other findings and was discharged with a plan of follow-up." @default.
- W4254236574 created "2022-05-12" @default.
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- W4254236574 date "2020-10-01" @default.
- W4254236574 modified "2023-09-26" @default.
- W4254236574 title "VP20.06: Percutaneous intra fetal full laser ablation of the feeding vessel in fetal pulmonary sequestration" @default.
- W4254236574 doi "https://doi.org/10.1002/uog.22643" @default.
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