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CC BY-NC-ND 4.0 · Journal of Fetal Medicine 2020; 07(01): 87-93
DOI: 10.1007/s40556-019-00235-5
Fetal Procedures

Prenatal Embolisation of Giant Chorioangioma Using n-Butyl Cyanoacrylate: Technique, Clinical Course and Perinatal Outcome

K. Manikandan 
1   The Fetal Clinic, East Coast Hospitals Ltd, No.1, Paris Nagar, 605010, Moolakulam, Pondicherry, India
,
Jisha Rajendran
2   Department of Obstetrics, Gynaecology, and Reproductive Medicine, East Coast Hospitals Ltd, Pondicherry, India
,
Aarthi M. Rangaraj
1   The Fetal Clinic, East Coast Hospitals Ltd, No.1, Paris Nagar, 605010, Moolakulam, Pondicherry, India
,
Kavitha Saravanan
3   Department of Obstetrics and Gynaecology, Saravana Hospital, Cuddalore, India
,
Tiroumourougane Serane
4   Canvij Neonatal Services, A G Padmavathi’s Hospital, Pondicherry, India
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Abstract

Giant Chorioangiomas, although rare, can be associated with serious fetal complications due to blood cell sequestration, shunt physiology or both. Prenatal treatment is aimed to counter the primary complication, usually an intrauterine transfusion to treat anemia or occlusion of the feeder artery to negate the shunt physiology. We describe a case of giant chorioangioma complicated by high output cardiac dysfunction with imminent hydrops that was treated with embolisation of the feeder artery using n-butyl cyanoacrylate and discuss how one modality may not fit all cases.

Keywords

Giant chorioangioma - Fetal therapy - Fetal interventions - Embolisation - Enbucrilate - Fetal hydrops - Fetal procedure - Placental tumor


Publication History

Received: 12 August 2019

Accepted: 12 December 2019

Article published online:
05 May 2023

© 2020. Society of Fetal Medicine. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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