Artículos de revistas
Prenatal diagnosis and natural history of fetuses presenting with pleural effusion
Fecha
2011Registro en:
PRENATAL DIAGNOSIS, v.31, n.5, p.496-499, 2011
0197-3851
10.1002/pd.2726
Autor
RUANO, Rodrigo
RAMALHO, Alan Saito
CARDOSO, Ana Karina Silva
MOISE JR., Kenneth
ZUGAIB, Marcelo
Institución
Resumen
Objective To describe the natural history of fetuses presenting with pleural effusion. Methods Between January 2005 and December 2009 all fetuses diagnosed with pleural effusion were followed up. Fetuses were divided into three groups: I, isolated pleural effusion; II, associated structural anomalies but normal karyotype; and III, chromosomal anomalies. Univariate and multivariate analyses were performed to determine the association between prenatal ultrasound findings and perinatal death. Results Fifty-six fetuses were included in the study. Associated structural or chromosomal anomalies occurred in 75.0% (42/56) of cases. Bilateral pleural effusion and fetal hydrops were associated with each other (p < 0.01) and with perinatal death (p < 0.05). Multivariate analysis indicated that only the presence of associated abnormalities was a statistical determinant of perinatal death (OR, 3.56; 95% CI, 1.48-5.64; p < 0.01). Conclusion Fetal pleural effusion is often associated with other abnormalities, and this association has poor perinatal outcome. Copyright (C) 2011 John Wiley & Sons, Ltd.