Large Placental Chorioangiomas as a Cause of Cardiac Failure in Two Fetuses

Horigome, Hitoshi; Hamada, Hiromi; Sohda, Satoshi; Igari, Miho; Nagata, Masakazu; Okuno, Suzuka; Wada, Atsushi; Kubo, Takeshi

doi:10.1159/000264476

Cited by 23 publications

(15 citation statements)

References 11 publications

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“…Although not all fetuses are expected to be anemic, in cases of mild signs of fetal hydrops, a cordocentesis should be performed to determine the hematological status, because fetal anemia can be treated by intrauterine blood transfusion. Recently, 3 such cases have been reported [3,10,11]. We used Doppler ultrasound to monitor fetal circulation and fetal wellbeing, but despite the presence of the large chorioangioma, no signs of significant anemia or cardiac failure could be observed until 4 days before intrauterine death.…”

Section: Discussionmentioning

confidence: 99%

Large Placental Chorioangioma as a Cause of Sudden Intrauterine Fetal Death

et al. 2001

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A giant placental chorioangioma was diagnosed in a fetus at 22 weeks of gestation by prenatal ultrasound screening and color Doppler imaging. Although no signs of fetal hydrops and cardiac decompensation were observed, the situation of the fetus deteriorated rapidly and in utero fetal death occurred at 26 weeks, attributed to bleeding from ruptured sinusoids within the tumor. Prenatal diagnosis of chorioangioma and treatment modalities are discussed.

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Section: Discussionmentioning

confidence: 99%

Large Placental Chorioangioma as a Cause of Sudden Intrauterine Fetal Death

et al. 2001

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“…A few cases of fetal anemia associated with placental chorioangioma occurring long before fetal maturity and treated by intrauterine blood transfusions have been reported [3,21,22] . As in fetal anemia secondary to other origins, the outcome is largely dependent on the fetus' status, being signifi cantly worse when the fetus is hydropic despite intrauterine blood transfusion [22] .…”

Section: Discussionmentioning

confidence: 99%

Prenatal Management of Placental Chorioangioma: Value of the Middle Cerebral Artery Peak Systolic Velocity

et al. 2006

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Placental chorioangiomas are benign tumors of the placenta. Large chorioangiomas may cause severe complications such as fetal anemia, hydrops and fetal death. We report the use of sonographic findings and peak systolic velocity in the middle cerebral artery in the diagnosis and management of fetal anemia without the occurrence of hydrops fetalis in a pregnant woman with a large placental chorioangioma. Successful intrauterine blood transfusion was performed at 26 weeks. Spontaneous thrombosis of the main supplying blood vessel of the chorioangioma was detected at 33 weeks. The child was delivered at 39 weeks of pregnancy in normal clinical condition.

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“…In the literature, few reports exist about fetal heart failure caused by chorangiomas. Different clinical pictures have been described including mild forms with cardiac effusion in utero [9] and fetal hydrops representing the most severe and often fatal course [10] . In our case, cardiac failure observed soon after delivery was most likely caused by high cardiac output due to persistent low peripheral resistance and chronic anemia.…”

Section: Discussionmentioning

confidence: 99%

Severe Transient Cardiac Failure Caused by Placental Chorangiosis

Schmitz

Opgen‐Rhein²,

Kroschwald³

et al. 2006

Neonatology

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Background: Chorangiomas are villous capillary tumors of the placenta with high impact on neonatal morbidity and mortality. Cardiac complications have occasionally been reported. Objective: To elucidate clinical features, diagnosis and treatment of cardiac failure caused by chorangiomas. Method:We report a case of a newborn, in whom massive chorangiomas were associated with severe cardiac failure, anemia, and thrombocytopenia. Results: Chorangiosis was not diagnosed prenatally. The pre-existing cardiac failure of the infant deteriorated soon after birth. Despite the severe stage, cardiac failure was reversible with intensive medical treatment including phosphodiesterase inhibitor. Complete recovery with no signs of cardiomyopathy was confirmed at the age of 5 months. Conclusions: Severe cardiac failure in the neonate can be caused by chorangiosis. The time of diagnosis and treatment seems to be critical for the outcome of the infant. Prenatal treatment interventions should be considered.

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Large Placental Chorioangiomas as a Cause of Cardiac Failure in Two Fetuses

Cited by 23 publications

References 11 publications

Large Placental Chorioangioma as a Cause of Sudden Intrauterine Fetal Death

Large Placental Chorioangioma as a Cause of Sudden Intrauterine Fetal Death

Prenatal Management of Placental Chorioangioma: Value of the Middle Cerebral Artery Peak Systolic Velocity

Severe Transient Cardiac Failure Caused by Placental Chorangiosis

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