You will be discharged the same day of shunt placement and return to CHOP one week later to ensure the shunt is functioning properly. After post-procedural follow-up, mothers who have undergone prenatal surgery return home and are monitored by their local care team.Įffective fluid drainage via thoracentesis or thoracoamniotic shunt placement leads to a decrease in fluid volume. Under ultrasound guidance and color-flow Doppler, a large trocar (hollow needle) is guided through the mother’s abdomen and uterus and then inserted through the fetus’s chest wall to remain in place until delivery.Īfter the procedure, expectant mothers receive antibiotics and are monitored for any post-procedural complications. The mother receives antibiotics and IV sedation (which also sedates the baby). Fetal thoracoamniotic shuntĪ shunt is a hollow tube that provides a passageway for the excess fluid to go from the fetal chest cavity through the chest wall to the amniotic fluid space around the fetus. If this occurs, a thoracoamniotic shunt can be placed for continuous fluid drainage. In some cases the fluid may reaccumulate 24 to 72 hours after the procedure. The fluid is also tested for infection and chromosomal abnormalities. The fluid will be tested to determine its origin – this helps us identify the cause of the fluid buildup and guide treatment. After your evaluation is complete, our multidisciplinary team meets with your family to review imaging and test results, discuss the diagnosis, explain treatment options and potential outcomes, and answer any questions you may have.ĭiagnosed with a lymphatic leak before he was born, Austin is thriving today thanks to expert care at CHOP.ĭraining the fluid relieves the pressure on the baby’s heart and lungs. Fetal chromosome studies (karyotype) - laboratory studies to rule out chromosomal abnormalities that would affect the baby’s survival or long-term outcome.Ī thorough prenatal evaluation will determine whether or not your baby may benefit from fetal intervention.Ultrafast fetal MRI - an imaging technique pioneered at Children's Hospital of Philadelphia (CHOP) that can be useful in evaluating the chest organs in more complex cases.
Fetal echocardiogram - a specialized ultrasound evaluation of the fetal heart, performed by fetal cardiologists, to assess structure and function.This exceptionally detailed exam gives us a thorough view of the fetal anatomy, as well as analysis of the overall fetal growth and development. High-resolution fetal ultrasound - comprehensive imaging used to confirm the diagnosis and the severity of organ compression.Families referred to the Center for Fetal Diagnosis and Treatment (CFDT) undergo a comprehensive one-day evaluation that may include the following studies: A diagnosis of pleural effusion is usually made by ultrasound.
A pleural effusion typically presents before the 32nd week of pregnancy.
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