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Prenatal diagnosis and management of fetuses with congenital diaphragmatic hernia


Authors: I. Urbánková;  L. Haaková;  Z. Straňák;  L. Krofta
Authors‘ workplace: 3. LF UK, přednosta prof. MUDr. M. Anděl, CSc. ;  Ústav pro péči o matku a dítě, ředitel doc. MUDr. J. Feyereisl, CSc.
Published in: Ceska Gynekol 2011; 76(6): 439-442
Category: Original Article

Overview

Objective:
The aim of this article is to review current options of prenatal diagnosis and management of fetuses with congenital diaphragmatic hernia at the Institute for the Care of Mother and Child.

Setting:
Institute for the Care of Mother and Child, 3. LF UK, Prague.

Methods:
Review of the literature.

Results:
Prenatal diagnosis of congenital diaphragmatic hernia based on 2D ultrasound. Measurement of the lung-to-head ratio (LHR), observed to expected lung to head ratio (O/E LHR), side of the diaphragmatic defect, assessment of the liver position and presence of associated anomalies (negative prognostic factors) are used for prediction of outcome. Prenatal diagnosis can be suplemented by 3D ultrasonography and magnetic resonace imaging. An important part of succesful management of CDH is the referal of cases to a specialised center.

Key words:
congenital diaphragmatic hernia, prenatal diagnosis.


Sources

1. de Buys Roessingh, AS., Dinh-Xuan, AT. Congenital diaphragmatic hernia: current status and review of the literature. Eur J Pediatr, 2009, 168(4), p. 393-406. Epub 2008 Dec 23. Review.

2. Cannie, M., Jani, J., Meerschaert, J., et al. Prenatal prediction of survival in isolated diaphragmatic hernia using observed to expected total fetal lung volume determined by magnetic resonance imaging based on either gestational age or fetal body volume. Ultrasound Obstet Gynecol, 2008, 32(5), p. 633-639.

3. Claus, F., Sandaite, I., DeKoninck, P., et al. Prenatal anatomical imaging in fetuses with congenital diaphragmatic hernia. Fetal Diagn Ther, 2011, 29(1), p. 88-100. Epub 2010 Nov 9. Review.

4. Deprest, JA., Nicolaides, KH., Gucciardo, L., et al. Changing perspectives on the perinatal management of isolated congenital diaphragmatic hernia in Europe. Clin Perinatol, 2009, 36(2), p. 329-347, ix.

5. Jani, J., Cordier, AG., Martinovic, J. Antenatal ultrasound prediction of pulmonary hypoplasia in congenital diaphragmatic hernia: correlation with patology. Ultrasoun Obstet Gynecol, 2011, 38, p. 344-349.

6. Jani, JC., Benachi, A, Nicolaides, KH., et al. Prenatal prediction of neonatal morbidity in survivors with congenital diaphragmatic hernia: a multicenter study. Ultrasound Obstet Gynecol, 2009, 33(1), p. 64-69.

7. Jani, JC., Vannie, M., Sonigo, P. Value of prenatal magnetic resonance imaging in the prediction of postnatal outcome in fetuses with diaphragmatic hernia. Ultrasound Obstet Gynecol, 2008, 32, p. 793-799.

8. Jani, J., Nicolaides, KH., Keller, RL., et al. Observed to expected lung area to head circumference ratio in the prediction of survival in fetuses with isolated diaphragmatic hernia. Ultrasound Obstet Gynecol, 2007, 30(1), p. 67-71.

9. Klaassens, M., de Klein, A., Tibboel, D. The etiology of congenital diaphragmatic hernia: still largely unknown? Eur J Med Genet, 2009, 52(5), p. 281-286. Epub 2009 May 21. Review.

10. Kline-Fath, BM. Congenital diaphramatic hernia. Pediatr Radiol, 2011, 8. [Epub ahead of print].

11. Mullassery, D., Ba’ath, ME., Jesudason, EC., et al. Value of liver herniation in prediction of outcome in fetal congenital diaphragmatic hernia: a systematic review and meta-analysis. Ultrasound Obstet Gynecol, 2010, 35(5), p. 609-614.

12. Peralta, CF., Cavoretto, P., Csapo, M., et al. Assessment of lung area in normal fetuses at 12-32 weeks. Ultrasound Obstet Gynecol, 2005, 26(7), p. 718-724.

13. Pober, BR., Russel, MK, Ackerman, KG. Congenital diaphragmatic hernia overview. GeneReviews [Internet]. Seattle (WA): University of Washington, Seattle, 1993-2006 Feb 01 [updated 2010 Mar 16]. dostupné z http://www.ncbi.nlm.nih.gov. ezproxy.is.cuni.cz/books/NBK1359.

14. Ruano, R., Aubry, MC., Barthe, B., et al. Three-dimensional sonographic measurement of contralateral lung volume in fetuses with isolated congenital diaphragmatic hernia. J Clin Ultrasound, 2008, 36(5), p. 273-278.

Labels
Paediatric gynaecology Gynaecology and obstetrics Reproduction medicine
Topics Journals
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