{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T17:38:39Z","timestamp":1789753119783,"version":"4.0.1"},"reference-count":13,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2005,11,25]],"date-time":"2005-11-25T00:00:00Z","timestamp":1132876800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Ultrasound in Obstet &amp;amp; Gyne"],"published-print":{"date-parts":[[2006,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Congenital high airway obstruction syndrome (CHAOS) from laryngeal atresia bears a poor prognosis for hydropic fetuses owing to cardiac failure. We attempted percutaneous fetoscopic and ultrasound\u2010guided tracheal decompression in a hydropic human fetus with CHAOS associated with Fraser syndrome.<\/jats:p><jats:p>Percutaneous fetoscopic and ultrasound\u2010guided tracheal decompression was performed using three trocars under general materno\u2010fetal anesthesia at 19 + 5 weeks of gestation. Abnormal fetoplacental blood flow normalized within hours as a result of the intervention. Furthermore, a normalization of lung : heart size and lung echogenicity was observed within days. Resolution of hydrops was complete within 3 weeks. Premature rupture of membranes and premature contractions prompted emergency delivery of the fetus by <jats:italic>ex\u2010utero<\/jats:italic> intrapartum treatment (EXIT) at 28 + 2 weeks of gestation. Following delivery, the lungs could be ventilated at low pressures and ambient oxygen concentration. Weaning from ventilation was achieved at 18 days of postnatal life.<\/jats:p><jats:p>Our experience indicated that percutaneous fetoscopic and ultrasound\u2010guided decompression of the fetal trachea is feasible and may permit normalization of hemodynamics in hydropic human fetuses with CHAOS from laryngeal atresia. The procedure may also result in normalization of heart : lung size and provide the time needed to regain the function of the overstretched diaphragm in this grave fetal condition. Copyright \u00a9 2005 ISUOG. Published by John Wiley &amp; Sons, Ltd.<\/jats:p>","DOI":"10.1002\/uog.1974","type":"journal-article","created":{"date-parts":[[2005,11,25]],"date-time":"2005-11-25T09:46:18Z","timestamp":1132911978000},"page":"84-88","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":81,"title":["Fetoscopic and ultrasound\u2010guided decompression of the fetal trachea in a human fetus with Fraser syndrome and congenital high airway obstruction syndrome (CHAOS) from laryngeal atresia"],"prefix":"10.1002","volume":"27","author":[{"given":"T.","family":"Kohl","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Hering","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G.","family":"Bauriedel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Van de Vondel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Heep","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Keiner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"M\u00fcller","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Franz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Bartmann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"U.","family":"Gembruch","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2005,11,25]]},"reference":[{"key":"e_1_2_4_3_2","first-page":"357","volume-title":"The Unborn Patient\u2014The Art and Science of Fetal Therapy","author":"Crombleholme TM","year":"2001"},{"key":"e_1_2_4_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3468(03)00128-3"},{"key":"e_1_2_4_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3468(98)90500-0"},{"key":"e_1_2_4_6_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-2008-1072385"},{"key":"e_1_2_4_7_2","doi-asserted-by":"publisher","DOI":"10.1002\/uog.899"},{"key":"e_1_2_4_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2003.09.041"},{"key":"e_1_2_4_9_2","doi-asserted-by":"publisher","DOI":"10.1152\/jappl.1983.55.4.1103"},{"key":"e_1_2_4_10_2","doi-asserted-by":"publisher","DOI":"10.1159\/000063179"},{"key":"e_1_2_4_11_2","first-page":"644A","article-title":"Impact of fetoscopic versus open fetal surgery on fetoplacental blood flow and outcome in human fetuses","volume":"20","author":"Kohl T","year":"1999","journal-title":"Eur Heart J"},{"key":"e_1_2_4_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0301-5629(02)00521-5"},{"key":"e_1_2_4_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2004.01.012"},{"key":"e_1_2_4_15_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.semperi.2004.03.006"},{"key":"e_1_2_4_16_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.138.8.872"}],"container-title":["Ultrasound in Obstetrics &amp; 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