PCMS_Philadelphia_Medicine_Spring2018 - 10

p h i l a m e d s o c  .org

Feature

When Surgery Can't Wait Until Birth...
CHOP's Cutting-Edge Work
to Save Unborn Lives
By: Lauren Rumsey, Children's Hospital of Philadelphia

B

ack in 1995, after a routine pregnancy ultrasound, Felicia
Rodriguez and her husband, Roberto, learned that the
child Felicia was carrying was a boy. They also learned that
there was something terribly wrong - a large mass was growing
in the fetus' left lung.

Determined to do everything possible to save their unborn
child, Felicia and Roberto traveled from their West Palm Beach,
Florida, home to the newly opened Center for Fetal Diagnosis
and Treatment at The Children's Hospital of Philadelphia, at the
time one of only two programs worldwide capable of treating
birth defects in utero.
An extensive evaluation at the Center consisting of a level
II ultrasound using power Doppler, ultrafast MRI and fetal
echocardiogram showed a congenital cystic adenomatoid
malformation (CCAM) so large it was filling virtually the entire
chest cavity and squeezing against the fetal heart, causing fetal
hydrops.
After discussing the diagnosis with the family and counseling
them about the risks of fetal surgery, the Center's team - led by
N. Scott Adzick, MD, MMM, a pioneer in the field - performed
a prenatal operation to remove the lesion from the left lung at
22 weeks gestation.

10 Philadelphia Medicine : Spring 2018


https://philamedsoc.org/

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