Ex utero intrapartum treatment procedure for management of congenital high airway obstruction syndrome in a vertex/breech twin gestation

Richard Elliott, Cristianna Vallera, Eugenie S. Heitmiller, Gillian Isaac, Michael Lee, Jude Crino, Emily F. Boss, Stacey L. Ishman

Research output: Contribution to journalArticlepeer-review

15 Scopus citations

Abstract

Congenital high airway obstruction syndrome (CHAOS) is one indication for the ex utero intrapartum treatment (EXIT), which is used to secure the fetal airway, while fetal oxygenation is maintained by uteroplacental circulation. We report a successful EXIT procedure in a twin gestation in which one child had CHAOS while the other was a healthy child without any congenital abnormalities. After version of Twin B to allow for delivery of Twin A, Twin B underwent airway evaluation and tracheostomy for laryngeal atresia prior to delivery.

Original languageEnglish (US)
Pages (from-to)439-442
Number of pages4
JournalInternational Journal of Pediatric Otorhinolaryngology
Volume77
Issue number3
DOIs
StatePublished - Mar 2013

Keywords

  • Anesthesia
  • CHAOS
  • Congenital High Airway Obstructive Syndrome
  • EXIT
  • Ex Utero Intrapartum Treatment
  • Twin

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Otorhinolaryngology

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