Prediction and probability of neonatal outcome in isolated congenital diaphragmatic hernia using multiple ultrasound parameters

Abstract

Objectives To evaluate the accuracy and probabilities of different fetal ultrasound parameters to predict neonatal outcome in isolated congenital diaphragmatic hernia (CDH). Methods

Primary Combined Latissimus Dorsi and Serratus Anterior Flap Repair of Right-Sided Congenital Diaphragmatic Agenesis in a Neonate

“…[2][3][4][5][6][7]9 In 98% of reported cases, CDA is a left-sided defect with a high mortality rate of 85-95%. [3][4][5][6][7] Right-sided CDA has a high mortality rate in comparison to right-sided CDH (95-98% versus 50-70%).…”

“…[2][3][4][5][6][7]9 In 98% of reported cases, CDA is a left-sided defect with a high mortality rate of 85-95%. [3][4][5][6][7] Right-sided CDA has a high mortality rate in comparison to right-sided CDH (95-98% versus 50-70%). [2][3][4][5][6][7]9,10 The present report details a unique case of right-sided CDA with complete hemidiaphragmatic agenesis associated with impaired development of the thoracic intercostal muscles and oesophageal mesentery.…”

“…[3][4][5][6][7] Right-sided CDA has a high mortality rate in comparison to right-sided CDH (95-98% versus 50-70%). [2][3][4][5][6][7]9,10 The present report details a unique case of right-sided CDA with complete hemidiaphragmatic agenesis associated with impaired development of the thoracic intercostal muscles and oesophageal mesentery. The defect was repaired using an autologous living bio-tissue flap to facilitate the development of a compliant neo-diaphragm that would provide effective pleuroperitoneal separation.…”

Mass Effect Alone May Not Explain Pulmonary Vascular Pathology in Severe Congenital Diaphragmatic Hernia

“…Low LHR and high CVR have been shown to predict mortality and other adverse pulmonary consequences [5]. Survival rates in severe CDH (LHR <1.0 and liver herniation into the thorax) have been reported to be <50% [4,6], reflecting lung hypoplasia, complicated by neonatal pulmonary hypertension (PH) [7,8]. In contrast, even in the most severely affected fetuses with CPAM, mortality is extremely low [5].…”

Avaliação da relação entre os índices vasculares placentários e a exposição individual à poluição atmosférica no primeiro trimestre

“…A técnica passou a ser utilizada em diversos órgãos fetais, entre eles rins e pulmões (72,73), assim como para a avaliação placentária (74)(75)(76). Ao longo dos anos, a técnica foi sendo testada de diversas formas e aperfeiçoada.…”