Bronchomegaly as a complication of fetal endoscopic tracheal occlusion. A caution and a possible solution

J Pediatr Surg. 2011 May;46(5):e1-3. doi: 10.1016/j.jpedsurg.2011.01.027.

Abstract

Fetal medicine is developing rapidly and aims to improve the outcome for fetuses with congenital anomalies. Fetal endoscopic tracheal occlusion (FETO) has been developed for fetuses with congenital diaphragmatic hernia to counterbalance the compression of the lung by the abdominal viscera, preserving the pulmonary maturation. Because the perinatal morbidity and mortality of patients treated with FETO have decreased, new complications are emerging in the older survivors. Tracheomegaly has been reported to be a late complication of FETO, sometimes requiring tracheostomy. We report a case of bronchial dilatation after FETO and suggest an alternative surgical treatment.

Publication types

  • Case Reports

MeSH terms

  • Abnormalities, Multiple / surgery
  • Balloon Occlusion / adverse effects*
  • Balloon Occlusion / methods
  • Bronchi / abnormalities*
  • Bronchi / embryology
  • Bronchomalacia / embryology
  • Bronchomalacia / etiology*
  • Bronchomalacia / therapy
  • Continuous Positive Airway Pressure
  • Dilatation, Pathologic / etiology
  • Fetoscopy / adverse effects*
  • Gestational Age
  • Heart Septal Defects, Atrial / surgery
  • Hernia, Diaphragmatic / diagnostic imaging
  • Hernia, Diaphragmatic / embryology
  • Hernia, Diaphragmatic / surgery
  • Hernias, Diaphragmatic, Congenital*
  • Humans
  • Infant, Newborn
  • Trachea* / embryology
  • Ultrasonography, Prenatal