Ex utero intrapartum treatment-to-extracorporeal membrane oxygenation followed by cardiac operation for truncus arteriosus communis

Interact Cardiovasc Thorac Surg. 2018 Feb 1;26(2):353-354. doi: 10.1093/icvts/ivx303.

Abstract

Extracorporeal membrane oxygenation has been recently indicated as an ex utero intrapartum treatment procedure for placental support in patients with a large thoracic mass. In our case, a foetus with truncus arteriosus communis and hydrops with ventricular failure due to severe truncal valve stenosis was delivered under ex utero intrapartum treatment-to-extracorporeal membrane oxygenation at 34 weeks of gestation. The neonate underwent truncal valve plasty. He could be weaned off extracorporeal membrane oxygenation, but he died because of the infection on postnatal Day 24.

Keywords: Ex utero intrapartum treatment; Salvage surgery; Truncus arteriosus communis.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Cardiac Surgical Procedures / methods*
  • Extracorporeal Membrane Oxygenation / methods*
  • Female
  • Follow-Up Studies
  • Gestational Age
  • Heart Defects, Congenital / diagnosis
  • Heart Defects, Congenital / embryology
  • Heart Defects, Congenital / surgery*
  • Humans
  • Infant, Newborn
  • Male
  • Pregnancy
  • Pregnancy Outcome
  • Truncus Arteriosus / diagnostic imaging
  • Truncus Arteriosus / surgery*
  • Ultrasonography, Prenatal / methods*

Supplementary concepts

  • Conotruncal cardiac defects