MRI Evaluation of Fetoscopic Endoluminal Tracheal Occlusion for an Isolated Left Congenital Diaphragmatic Hernia and Clinical Outcomes of Neonates after Delivery: Five Case Reports and Literature Review

磁共振成像评估胎儿镜下经腔气管阻塞术治疗孤立性左侧先天性膈疝及新生儿出生后临床结局:5例病例报告及文献综述

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Abstract

INTRODUCTION: Prenatal intervention with fetoscopic endoluminal tracheal occlusion (FETO) using a balloon can stimulate lung growth and improve neonatal survival for moderate and severe congenital diaphragmatic hernia (CDH). Quantitative parameters measured on magnetic resonance imaging (MRI) can guide the treatment of CDH and evaluate changes after FETO treatment. CASE PRESENTATION: We reported on five cases of isolated left congenital diaphragmatic hernia (CDH) in fetuses who underwent FETO surgery. We conducted a comparison of the MRI images before and after FETO treatment and analyzed the correlation between the observed changes and the clinical outcomes of the neonates after delivery. CONCLUSION: MRI can precisely provide the anatomical details of CDH and quantitatively analyze changes in fetal lung volume before and after FETO surgery.

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