RESUMO
Aneurysms of the right atrium are rare in the paediatric population. We report a case of a foetal diagnosis of right atrial aneurysm with associated atrial tachycardia in foetal and postnatal life. Unique to our case are the findings of isolated pericardial effusion without hydrops fetalis and the development of aortic coarctation in postnatal life.
Assuntos
Coartação Aórtica/complicações , Coartação Aórtica/diagnóstico , Aneurisma Cardíaco/complicações , Aneurisma Cardíaco/diagnóstico , Disfunção Ventricular Esquerda/complicações , Disfunção Ventricular Esquerda/diagnóstico , Adulto , Coartação Aórtica/cirurgia , Feminino , Aneurisma Cardíaco/cirurgia , Humanos , Recém-Nascido , Gravidez , Ultrassonografia Pré-Natal , Disfunção Ventricular Esquerda/cirurgiaRESUMO
OBJECTIVE: To determine whether preeclampsia is associated with an increased risk of cesarean delivery if labor is induced. METHODS: This retrospective cohort study of 3505 women >or=24 weeks gestation with singleton pregnancies undergoing labor induction compares cesarean delivery rates between preeclamptics and non-preeclamptics. Multivariable logistic regression analysis was used to control for potential confounders including unfavorable cervix (Bishop score Assuntos
Cesárea/estatística & dados numéricos
, Trabalho de Parto Induzido/efeitos adversos
, Trabalho de Parto Induzido/estatística & dados numéricos
, Pré-Eclâmpsia/epidemiologia
, Adulto
, Estudos de Coortes
, Feminino
, Idade Gestacional
, Humanos
, Recém-Nascido
, Trabalho de Parto Prematuro/epidemiologia
, Trabalho de Parto Prematuro/etiologia
, Pré-Eclâmpsia/fisiopatologia
, Gravidez
, Resultado da Gravidez
, Estudos Retrospectivos
, Fatores de Risco
, Adulto Jovem
RESUMO
Fetal sacrococcygeal teratoma (SCT) is rarely associated with spinal invasion. The prognostic significance of spinal invasion is unknown. In the past, invasion has been discovered by postnatal imaging or in the operating room. As screening ultrasounds have become more prevalent in the United States, more SCTs have been discovered and characterized prenatally. This screening has allowed for better birth planning and neonatal therapy. We report a case of SCT invading the spinal canal seen on prenatal ultrasound. To our knowledge, this is the first documented case of prenatally diagnosed SCT intraspinal invasion.