Abstract:
:Large placental chorioangiomas (>4 cm) can precipitate severe polyhydramnios, fetal anemia, growth restriction, high-output cardiac failure, hydrops, and fetal demise. We report a case of a large chorioangioma that was treated in a stepwise fashion with amnioreduction to ameliorate maternal discomfort, followed by fetoscopic laser ablation of the feeding vessels after rapid evolution of heart failure. Although amnioreduction was helpful in improving maternal symptoms, we suspect that the drop in intrauterine pressure from the amniotic fluid decompression may have resulted in increased tumor perfusion, thereby promoting fetal deterioration due to a 'steal' phenomenon. Close scrutiny of the fetal status via ultrasound is required, particularly if amnioreduction is necessary, and definitive treatment should be considered once early signs of heart failure develop. Fetoscopic laser ablation of the feeding vessels is a feasible definitive treatment of a large chorioangioma in cases in which perfusion of the tumor is via a superficial nonterminus umbilical artery. Future reports should describe the anatomy of the blood supply to the chorioangioma, in the hopes that further guidelines for surgical candidacy may be established.
journal_name
Fetal Diagn Therjournal_title
Fetal diagnosis and therapyauthors
Jones K,Tierney K,Grubbs BH,Pruetz JD,Detterich J,Chmait RHdoi
10.1159/000331944subject
Has Abstractpub_date
2012-01-01 00:00:00pages
191-5issue
3eissn
1015-3837issn
1421-9964pii
000331944journal_volume
31pub_type
杂志文章abstract::Ectopia cordis (EC) is a rare malformation due to failure of maturation of the midline mesodermal components of the chest and abdomen. It can be defined as a complete or partial displacement of the heart outside the thoracic cavity. It comprises 0.1% of congenital heart diseases. Common cardiac anomalies associated wi...
journal_title:Fetal diagnosis and therapy
pub_type: 杂志文章
doi:10.1159/000326300
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journal_title:Fetal diagnosis and therapy
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journal_title:Fetal diagnosis and therapy
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journal_title:Fetal diagnosis and therapy
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doi:10.1159/000320966
更新日期:2010-01-01 00:00:00
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journal_title:Fetal diagnosis and therapy
pub_type: 杂志文章
doi:10.1159/000336123
更新日期:2012-01-01 00:00:00
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journal_title:Fetal diagnosis and therapy
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更新日期:2018-01-01 00:00:00
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journal_title:Fetal diagnosis and therapy
pub_type: 杂志文章,评审
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journal_title:Fetal diagnosis and therapy
pub_type: 杂志文章
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journal_title:Fetal diagnosis and therapy
pub_type: 杂志文章,评审
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journal_title:Fetal diagnosis and therapy
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更新日期:2004-09-01 00:00:00
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journal_title:Fetal diagnosis and therapy
pub_type: 杂志文章,评审
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journal_title:Fetal diagnosis and therapy
pub_type: 杂志文章,多中心研究
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journal_title:Fetal diagnosis and therapy
pub_type: 杂志文章
doi:10.1159/000263936
更新日期:1994-07-01 00:00:00
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journal_title:Fetal diagnosis and therapy
pub_type: 杂志文章,评审
doi:10.1159/000468929
更新日期:2018-01-01 00:00:00
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journal_title:Fetal diagnosis and therapy
pub_type: 临床试验,杂志文章
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journal_title:Fetal diagnosis and therapy
pub_type: 杂志文章
doi:10.1159/000151341
更新日期:2008-01-01 00:00:00
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journal_title:Fetal diagnosis and therapy
pub_type: 杂志文章,评审
doi:10.1159/000363181
更新日期:2015-01-01 00:00:00
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journal_title:Fetal diagnosis and therapy
pub_type: 杂志文章
doi:10.1159/000441356
更新日期:2016-01-01 00:00:00
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journal_title:Fetal diagnosis and therapy
pub_type: 杂志文章,评审
doi:10.1159/000362386
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journal_title:Fetal diagnosis and therapy
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journal_title:Fetal diagnosis and therapy
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更新日期:2016-01-01 00:00:00
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journal_title:Fetal diagnosis and therapy
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journal_title:Fetal diagnosis and therapy
pub_type: 杂志文章
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更新日期:2015-01-01 00:00:00
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journal_title:Fetal diagnosis and therapy
pub_type: 杂志文章
doi:10.1159/000503386
更新日期:2020-01-01 00:00:00
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journal_title:Fetal diagnosis and therapy
pub_type: 杂志文章
doi:10.1159/000371516
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journal_title:Fetal diagnosis and therapy
pub_type: 杂志文章
doi:10.1159/000235883
更新日期:2009-01-01 00:00:00
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journal_title:Fetal diagnosis and therapy
pub_type: 杂志文章
doi:10.1159/000314617
更新日期:2011-01-01 00:00:00
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journal_title:Fetal diagnosis and therapy
pub_type: 杂志文章,评审
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journal_title:Fetal diagnosis and therapy
pub_type: 杂志文章
doi:10.1159/000253880
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journal_title:Fetal diagnosis and therapy
pub_type: 杂志文章
doi:10.1159/000472150
更新日期:2018-01-01 00:00:00