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Massive Fetal Transfusion During an Emergency Ex Utero Intrapartum Treatment for a Congenital Infantile Fibrosarcoma: A Case Report

Oster, Andrew S. MD; Reina, Eduardo MD; Fehr, James J. MD; Moore, Robert P. MD; Cox, Thomas E. MD; George, Preeta MD

doi: 10.1213/XAA.0000000000001050
Case Reports
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Although originally described to assist airway management of fetal congenital malformations with life-threatening airway obstruction, the indications for an ex utero intrapartum treatment (EXIT) have expanded to include surgical resection of lesions that are potentially incompatible with life in the absence of uteroplacental circulatory support. We describe the case of an infantile fibrosarcoma (IFS) that presented with fetal hydrops and was successfully managed with an emergency EXIT that necessitated the initiation of a massive fetal blood transfusion both with and without the support of uteroplacental circulation.

From the Division of Pediatric Anesthesiology, Department of Anesthesiology, Washington University in St. Louis School of Medicine, St. Louis, Missouri.

Accepted for publication May 6, 2019.

Funding: None.

The authors declare no conflicts of interest.

Address correspondence to Andrew S. Oster, MD, Department of Anesthesiology, Washington University School of Medicine, Campus Box 8054, 660 S Euclid Ave, St. Louis, MO 63110. Address e-mail to andrew.oster.md@gmail.com.

Copyright © 2019 International Anesthesia Research Society
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