Predicting perinatal outcome in isolated congenital diaphragmatic hernia using fetal pulmonary artery diameters

Impact of prenatal evaluation and protocol-based perinatal management on congenital diaphragmatic hernia outcomes

“…Recent studies have suggested the merit of pulmonary artery-based measurements, whereas the predictive value of LHR has been extensively debated during the past decade [17,19,[22][23][24][25][26][27]. In contrast, liver position has gained wide acceptance as an excellent prognostic factor and is considered by many to be the best prenatal predictor of outcome [13][14][15]28].…”

Fetal Pulmonary Response After Fetoscopic Tracheal Occlusion for Severe Isolated Congenital Diaphragmatic Hernia

“…[5][6][7][8][9][10] Fetal endoscopic tracheal occlusion has been shown to stimulate fetal lung growth in both animal models and humans with congenital diaphragmatic hernia. 11,12 Our previous studies have demonstrated that fetal endoscopic tracheal occlusion can improve neonatal survival in severe cases of congenital diaphragmatic hernia.…”

Tissue Doppler Changes in Three Neonates with Congenital Diaphragmatic Hernia

“…2 The acute perioperative period involves significant physiologic alterations with cardiac dysfunction being an increasingly recognized component. [3][4][5] Tissue Doppler imaging (TDI) is a new echocardiographic modality that is able to quantitate systolic and diastolic function (Figure 1). 6 -9 It has been suggested that TDI velocities are less preload dependent compared with other echocardiographic measurements and thus may be more accurate in describing myocardial function.…”