High‐output cardiac failure in a fetus with thanatophoric dysplasia associated with large placental chorioangioma: Case report

Akercan, Fuat; Seyfettinoğlu, Sevtap; Zeybek, Burak; Çırpan, Teksin

doi:10.1002/jcu.20865

Cited by 11 publications

(8 citation statements)

References 11 publications

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“…Small tumors are usually monitored every 3-4 weeks, whereas large tumors require examinations every 1-2 weeks. 10 The management of symptomatic or complicated chorioangiomas is equivocal and primarily dependent on fetal symptoms and gestational age. If complications develop late in pregnancy, delivery should be considered, depending on fetal maturity and the available neonatal support.…”

Section: Resultsmentioning

confidence: 99%

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Natural history and pregnancy outcome in patients with placental chorioangioma

Liu

2013

J of Clinical Ultrasound

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Placental chorioangioma was associated with the development of polyhydramnios, fetal growth restriction, and fetal distress in a significant number of cases. The size, vascularity, and location of the chorioangioma may be three independent factors of maternal and fetal complications. Any of these three factors can influence the outcome of pregnancy. Close antenatal examination should be routinely practiced to allow the timely diagnosis of early fetal heart failure.

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Section: Resultsmentioning

confidence: 99%

“…Close antenatal examination mainly by ultrasound should be routinely practiced. Small tumors are usually monitored every 3–4 weeks, whereas large tumors require examinations every 1–2 weeks . The management of symptomatic or complicated chorioangiomas is equivocal and primarily dependent on fetal symptoms and gestational age.…”

Section: Discussionmentioning

confidence: 99%

Natural history and pregnancy outcome in patients with placental chorioangioma

Liu

2013

J of Clinical Ultrasound

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“…Placental chorioangioma is the most common benign tumour of the placenta with no malignant potential [1]. It is believed to be arising from the chorionic tissue due to abnormal proliferation of vessels by the 16th day of fertilization; however, there is no documentation of such cases in the 1st trimester [6].…”

Section: Discussionmentioning

confidence: 99%

Role of Antenatal Intervention and Pregnancy Outcome in Large Chorioangiomas

Dhingra

Makam

2020

Journal of Fetal Medicine

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Chorioangioma is a non-trophoblastic benign vascular tumour of the placenta affecting fetal outcome. It has no malignant potential. It is usually diagnosed during the 2nd trimester. These are usually found on the fetal side of the placenta, close to the umbilical cord insertion site protruding into the amniotic cavity. Chorioangiomas can be small or large. Small tumours (less than 5 cm) usually have favourable outcome. Large chorioangiomas (more than 5 cm) usually have an unfavourable outcome and may cause maternal complications like pre-eclampsia, preterm labour, placental abruption, placenta previa, polyhydramnios and post partum haemorrhage and fetal complications like anemia, thrombocytopenia, growth restriction, hydrops, cardiomegaly, congestive heart failure and intrauterine fetal demise. With the use of ultrasound and color Doppler, it has become possible to diagnose these early and provide timely intervention in order to prevent fatal complications. Here, we present a case of a large chorioangioma, 10 9 8.7 9 9.3 cm, with significant high vascularity and fetal anemia. There was a significant reduction in the size of tumour after interstitial laser coagulation. Following this, an intrauterine transfusion helped in correcting anemia. Other intervention options available for chorioangiomas are endoscopic surgical devascularization, alcoholic ablation and radiofrequency ablation. Polyhydramnios if present, is treated with therapeutic amniocentesis. Delivery is to be considered in case of complications after 34 weeks of gestation. Small chorioangiomas are usually favourable and require close fetal monitoring only.

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“…3 The incidence in many series has been determined to be <1%. 4 It is a benign vascular tumor believed to arise from the primitive angioblastic chorionic tissue of the placenta.…”

Section: Discussionmentioning

confidence: 99%

Chorioangioma with fetal anemia and polyhydramnios: a case report

Mahajan

Bala

Nagpal

2016

Int J Reprod Contracept Obstet Gynecol

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Chorioangioma is a rare benign vascular tumor of the placenta. Although commonly symptomless, larger tumors may cause serious maternal and fetal complications. We present a case of chorioangioma which was diagnosed as an incidental finding on ultrasound in third trimester and referred to us for management. Color Doppler signified fetal anemia as depicted by hyperdynamic middle cerebral artery flow. Elective casarean section was done and a healthy baby delivered without any adverse outcome.

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High‐output cardiac failure in a fetus with thanatophoric dysplasia associated with large placental chorioangioma: Case report

Cited by 11 publications

References 11 publications

Natural history and pregnancy outcome in patients with placental chorioangioma

Natural history and pregnancy outcome in patients with placental chorioangioma

Role of Antenatal Intervention and Pregnancy Outcome in Large Chorioangiomas

Chorioangioma with fetal anemia and polyhydramnios: a case report

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