Hydrops

If hydrops is present, the team will join the family to explain fetal surgery in detail. ❋ Unknown (2010)

If hydrops is not present, close surveillance will be provided to the family with a telephone call and follow-up letter to the referring physician. ❋ Unknown (2010)

Cardiac failure is manifest as "hydrops," an accumulation of fluid in the body of the fetus. ❋ Unknown (2010)

If the fetus develops hydrops, or massive fluid retention, the mother may "mirror" the sick fetus, becoming ill with signs of preeclampsia. ❋ Unknown (2010)

Crombleholme TM, Shiraishi H, Adzick NS, Langberg J, Silverman N, Harrison MR: A model of non-immune hydrops in fetal lambs: Complete heart block induced hydrops fetalis. ❋ Unknown (2010)

The finding that fetuses with hydrops are at very high risk for fetal or neonatal demise led to the performance of either fetal surgical resection of the massively enlarged pulmonary lobe (fetal lobectomy) for cystic/solid lesions or thoracoamniotic shunting for lesions with a dominant cyst. ❋ Unknown (2010)

Because the natural history and possible development of hydrops varies and may be quite sudden, it's important that we speak to families early, before hydrops develops. ❋ Unknown (2010)

A large mass causes mediastinal shift, hypoplasia of normal lung tissue, polyhydramnios and cardiovascular compromise leading to fetal hydrops and death. ❋ Unknown (2010)

The CVR may be useful in selecting fetuses at risk for hydrops and thus need close ultrasound observation and possible fetal intervention. ❋ Unknown (2010)

However, fetal surgery is only an option once hydrops develops. ❋ Unknown (2010)

Lesions with associated hydrops that are diagnosed late in gestation may benefit from resection using an Ex Utero Intrapartum Therapy (EXIT) approach. ❋ Unknown (2010)

The fetus with a lung mass but without hydrops has an excellent chance for survival with maternal transport, planned delivery, neonatal evaluation and surgery. ❋ Unknown (2010)

Like CCAMs, a fetal bronchopulmonary sequestration can also cause fetal hydrops, either from the mass effect or from a tension hydrothorax that results from fluid or lymph secretion from the bronchopulmonary sequestration. ❋ Unknown (2010)

CCAM can cause a myriad of life-threatening problems for the baby, including fetal hydrops, an accumulation of fluid surrounding internal organs caused by congestive heart failure. ❋ Unknown (2010)

CHAOS includes several conditions ranging from large, overinflated lungs to a flattened or inverted diaphragm, plus dilated, stretched out airways, excess abdominal fluid (ascites) and/or fetal heart failure (hydrops). ❋ Unknown (2010)

Among the life-threatening problems that CCAM can cause is fetal hydrops, an accumulation of fluid surrounding internal organs caused by congestive heart failure. ❋ Unknown (2010)

As a result, fluid can accumulate in the body, causing fetal hydrops. ❋ Unknown (2010)

A CVR 1.6 is predictive of increased risk of hydrops with 80 percent of these congenital cystic adenomatoid malformation fetuses developing hydrops. ❋ Unknown (2010)

If hydrops does not develop, appropriate delivery plans will be made, depending upon the size of the lesion. ❋ Unknown (2010)

This variation put the baby and Mary at higher risk for hydrops. ❋ Unknown (2010)