Department of Obstetrics and Gynecology, Chung-Ang University Hospital, College of Medicine, Chung-Ang University, 102, Heukseok-ro, Dongjak-gu, Seoul, 06973, Korea.
J Ultrasound. 2021 Dec;24(4):561-565. doi: 10.1007/s40477-020-00470-x. Epub 2020 May 5.
Chorioangiomas are generally small and associated with favorable outcomes, but large tumors can cause serious fetal complications, such as polyhydramnios, fetal anemia, intrauterine growth restriction, cardiac failure, fetal hydrops, and intrauterine fetal death. Signs of fetal cardiac failure on ultrasonography are indications for urgent in utero interventions. We report a case of a giant chorioangioma causing fetal cardiac failure at 26 weeks' gestation, which was treated by embolization of the feeding vessels. We utilized a mixture of n-butyl cyanoacrylate (nBCA, Histoacryl®) and iodized oil (Lipiodol®) as an embolic agent. Fetal hydrops resolved in 4 weeks, and the cardiac size and function normalized 8 weeks after the embolization. A healthy male baby was born at the 37th gestational week by cesarean section.
绒毛膜血管瘤通常较小，预后良好，但大的肿瘤可导致严重的胎儿并发症，如羊水过多、胎儿贫血、宫内生长受限、心力衰竭、胎儿水肿和宫内胎儿死亡。超声检查发现胎儿心力衰竭的迹象表明需要紧急宫内干预。我们报告了一例 26 周妊娠的巨大绒毛膜血管瘤导致胎儿心力衰竭的病例，该病例通过血管内栓塞治疗。我们使用混合 n-丁基氰基丙烯酸酯（nBCA，Histoacryl®）和碘化油（Lipiodol®）作为栓塞剂。胎儿水肿在 4 周内消退，栓塞后 8 周心脏大小和功能恢复正常。一名健康的男婴于第 37 孕周通过剖宫产娩出。
