A 24-week-old fetus with a massive, imminently lethal right lung mass recently underwent successful open fetal resection at Cleveland Clinic and was subsequently delivered at full term. The complex case is another milestone for Cleveland Clinic’s fetal surgery program.
Cleveland Clinic Fetal Surgeons Resect Rare Intrapericardial Teratoma
A multidisciplinary Cleveland Clinic team led by Darrell Cass, MD, has successfully performed a challenging fetal surgery to remove an intrapericardial teratoma that posed imminent lethal risk to a nearly 27-week-old fetus. Only one previous incidence of extended survival after fetal intrapericardial teratoma resection is documented in the world’s medical literature.
Fetal Surgery Program Plans to Offer New Capabilities
Since its initial procedure in February 2019, Cleveland Clinic’s fetal surgery program has undertaken increasingly complex cases. Next up: fetoscopic endoluminal tracheal occlusion to treat fetuses with severe pulmonary hypoplasia due to congenital diaphragmatic hernia, and providing treatment for twin-twin transfusion syndrome.
First Fetal Surgery Cases Set the Course for a Full Spectrum of Intrauterine Therapies
Since its first procedure in February 2019, a multidisciplinary team has completed15 carefully timed fetal surgeries, saving lives and minimizing risk for life-long disability.
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Complicated Pregnancies Benefit From a Team Approach
Maternal-fetal medicine specialist Edward Chien, MD, MBA, shares new initiatives aimed at improving the health of pregnant women and delivering healthy babies:
EXIT-to-Resection of Large Lung Mass Results in Positive Outcome
A multidisciplinary team led by pediatric and fetal surgeon Darrell Cass, MD, performs an EXIT-to-resection procedure, exteriorizing a large, right-sided lung mass in a partially delivered fetus, enabling a safe birth and subsequent removal of the tumor.
EXIT-to-Airway Fetal Surgery Results in Safe Delivery
In a complex fetal surgery procedure performed in December at Cleveland Clinic, a multidisciplinary team led by pediatric and fetal surgeon Darrell Cass, MD, established an airway in a partially delivered fetus with a large trachea-obstructing neck mass, enabling a safe birth and subsequent removal of the tumor.
Cleveland Clinic Children’s: 2019 Year in Review
From intrauterine surgery and life-saving transplants, to orthopedic procedures that dramatically improve quality of life, get a glimpse of some of the most intriguing cases and ground-breaking clinical innovations at Cleveland Clinic Children’s in 2019.
Intrauterine Myelomeningocele Repair Reduces Neurological Damage in the Tiniest Patients
More than 2 dozen Cleveland Clinic Children’s specialists collaborated to develop best practices in intrauterine myelomeningocele repairs. In this article, Dr. Darrell Cass and his team discuss the program’s first fetal surgeries, from anesthetizing both mother and fetus, to fetal monitoring and the first incision.
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Watch the Recap of Our First Fetal Surgery Case (Video)
A 90-second video captures the highlights of Cleveland Clinic’s and Northern Ohio’s first fetal surgery case: the complex repair of a myelomeningocele lesion in a nearly 23-week-old fetus.