Intrauterine fetal resuscitation following complications of closed fetal surgery.

BACKGROUND: With advances in prenatal diagnosis and surgical technique more fetal interventions are being performed. There are limited data about the etiology, incidence, management, or long-term outcomes of complications associated with these procedures. CASE: A gravida had a fetus diagnosed with posterior urethral valve syndrome. During placement of a peritoneal-amniotic shunt, profound fetal bradycardia was noted. Using closed fetal surgical techniques successful resuscitation was accomplished. CONCLUSION: Closed fetal surgical interventions carry the potential for significant complications of varying etiologies. Resuscitation can be accomplished. Preparation for potential complications may improve outcome.