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Prenatal diagnosis and therapy of upper extremity vascular malformation causing high cardiac output and Kasabach–Merritt sequence: a report of two cases
Author(s) -
Kamil D.,
Geipel A.,
Heep A.,
Breuer J.,
Knöpfle G.,
Gembruch U.,
Berg C.
Publication year - 2006
Publication title -
ultrasound in obstetrics and gynecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.202
H-Index - 141
eISSN - 1469-0705
pISSN - 0960-7692
DOI - 10.1002/uog.2681
Subject(s) - medicine , transplacental , fetus , surgery , prenatal diagnosis , vascular malformation , digitalis , pregnancy , cardiology , heart failure , genetics , placenta , biology
We present two cases of upper extremity vascular malformation causing a high output state in the prenatal period. One fetus responded well to transplacental digitalis treatment. Both newborns had a Kasabach–Meritt sequence including anemia and thrombocytopenia. Postpartum treatment included successful interventional occlusion of the main feeding arteries and subsequent surgical removal of the tumor. Copyright © 2006 ISUOG. Published by John Wiley & Sons, Ltd.