OBJECTIVE: To evaluate perinatal outcomes of fetal @entity1143 after thoracoamniotic shunting. METHODS: This was a retrospective study of 68 singleton pregnancies with massive fetal @entity1143 that underwent thoracoamniotic shunting between 1999 and 2012 at Asan Medical Center, Seoul, Korea. Through a review of medical records, we investigated perinatal outcomes according to the presence of fetal @entity4 and identified prognostic factors by stepwise multivariate logistic regression analysis. RESULTS: Of the 68 pregnancies, three were lost to follow-up and two fetuses died in utero. The median gestational age at shunting was 28.3   weeks (range, 18.5-34.1   weeks). Of the 65 fetuses, 50 (76.9%) were hydropic, of which @entity4 resolved following shunting in 29 fetuses (58.0%). Among the 63 live births, the median gestational age at delivery was 33.6   weeks (range, 26.2-40.0   weeks), with 36 fetuses (57.1%) delivered preterm. The overall survival rate was 75.4% (49/65), and in a subgroup analysis, the survival rate was highest for non-hydropic fetuses (14/15, 93.3%), followed by fetuses whose @entity4 resolved (25/29, 86%) and remained after shunting (10/21, 47.6%). CONCLUSION: Thoracoamniotic shunting can be helpful for fetuses with massive @entity1143 . While fetal @entity4 can occur in such cases, perinatal outcomes can be improved by successful shunting.

Perinatal outcomes of fetal XXXX following thoracoamniotic shunting.

@entity1143 :: ('MESH:D010996', 'Disease') :: ['pleural effusion'] @entity4 :: ('MESH:D004487', 'Disease') :: ['hydrops']
@entity1143 :: (MESH:D010996,Disease) :: ['pleural effusion']
