An operation on placental support in a fetus with a nasopharyngeal teratoma

F. Yanko, H. Nathani, T. Alden, T. Valika, J. Rastatter, A. Alhajjat, H. A. Ballard*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

Airway obstruction diagnosed antenatally in the fetus due to congenital high airway obstruction syndrome or nasopharyngeal masses are the primary indications for performing an operation on placental support. Prenatally diagnosed nasopharyngeal masses pose the risk of total airway obstruction upon delivery. Placental support utilises uteroplacental blood flow to facilitate an airway intervention on the fetus while maintaining oxygenation. These interventions must be completed in under 20 min due to amniotic fluid loss and uterine contractions. This case report describes the anaesthetic management of a fetus with a nasal teratoma. In this report, we discuss the clinical indications and anaesthetic considerations of the operation on placental support procedure for nasopharyngeal masses.

Original languageEnglish (US)
Article numbere12219
JournalAnaesthesia Reports
Volume11
Issue number1
DOIs
StatePublished - Jan 1 2023

Funding

This case report was published with the written consent of the mother. No external funding and no competing interests declared. The authors would like to thank Dr. Aimen Shaaban for his contributions and care of this patient.

Keywords

  • anaesthesia obstetrical
  • anaesthesia paediatric
  • ex utero intrapartum treatment procedures
  • teratoma

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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