EXIT (ex utero intrapartum treatment) in a growth restricted fetus with tracheal atresia. (February 2018)

• Record Type: Journal Article
• Authors: Gonzales, S. Kyle; Goudy, Steven; Prickett, Kara; Ellis, Jane
• Is Part Of: International journal of pediatric otorhinolaryngology. Volume 105(2018:Feb.)
• Page Start: 72
• Page End: 74
• Publication Date: 2018-02
• Subjects: Otolaryngology -- Periodicals; Pediatrics -- Periodicals; Otolaryngology -- Periodicals; Pediatrics -- Periodicals; Oto-rhino-laryngologie -- Périodiques; Pédiatrie -- Périodiques; 618.9209751
• DOI: 10.1016/j.ijporl.2017.12.010
• Languages: English
• ISSNs: 0165-5876

Abstract

Abstract: Congenital high airway obstruction syndrome (CHAOS) encompasses a heterogeneous group of pathologies leading to poor lung development and difficulty oxygenating the newborn after delivery. While previously uniformly fatal, the ex utero intrapartum therapy (EXIT) procedure has provided a method to treat these patients and provide an airway to potentiate survival. We present a patient diagnosed prenatally with CHAOS secondary to tracheal atresia complicated by severe intra-uterine growth restriction (IUGR) who was successfully delivered via an EXIT procedure at 33-weeks. Multidisciplinary care and planning is paramount.