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Prenatal Diagnosis of Congenital Malformations

  • Tippi C. MacKenzieEmail author
  • N. Scott Adzick
Living reference work entry

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Abstract

The convergence of progress in genetic and radiographic methods for prenatal diagnosis now makes it possible to diagnose most congenital anomalies early in gestation. Thus, it is now possible to accurately counsel affected families about their prognosis and to plan for appropriate perinatal care using a multidisciplinary team approach. In rare cases of severe or fatal anatomic abnormalities, fetal intervention may be offered by experienced centers. In this chapter, we discuss common prenatal diagnostic tools as well as the management strategies for patients with surgical diseases such as neck masses, congenital diaphragmatic hernias (CDH), lung masses, sacrococcygeal teratomas (SCTs), and myelomeningocele. There are strategies that have been developed through decades of experience with animal models and collaborative analysis of clinical outcomes worldwide. Our understanding of the underlying disease processes that contribute to prognosis is rapidly evolving and will continue to refine the current recommendations for these patients.

Keywords

Prenatal diagnosis Fetal surgery Congenital anomalies 

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Eli and Edythe Broad Center for Regeneration Medicine, Fetal Treatment CenterUniversity of CaliforniaSan FranciscoUSA
  2. 2.The Division of Pediatric General and Thoracic SurgeryThe Center for Fetal Diagnosis and Treatment, Children’s Hospital of PhiladelphiaPhiladelphiaUSA

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