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M aternal floor infarction: M anagement of an underrecognized pathology
Author(s) -
AlSahan Nada,
Grynspan David,
Dadelszen Peter,
Gruslin Andrée
Publication year - 2014
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/jog.12159
Subject(s) - medicine , decidua , pathological , infarction , fibrin , fetus , cardiology , myocardial infarction , pregnancy , immunology , placenta , biology , genetics
Maternal floor infarction is a relatively rare condition characterized clinically by severe early onset fetal growth restriction with features of uteroplacental insufficiency. It has a very high recurrence rate and carries a significant risk or fetal demise. Pathological characteristics include massive and diffuse fibrin deposition along the decidua basalis and the perivillous space of the basal plate. We present a case of recurrent maternal floor infarction and propose diagnostic clues as well as potential therapeutic options.