Download PDF
Z Geburtshilfe Neonatol 2022; 226(04): 274-277
DOI: 10.1055/a-1833-9554
Case Report

Interstitial Laser Ablation of Feeding Vessels to a Large Placental Chorioangioma

Ezgi Turgut
1   Department of Obstetrics and Gynecology, Division of Perinatology, Ankara City Hospital, Ankara, Turkey
,
Aysegul Atalay
2   Obstetric and Gynecology, Ankara City Hospital, Cankaya, Turkey
,
Bedri Sakcak
2   Obstetric and Gynecology, Ankara City Hospital, Cankaya, Turkey
,
Dilek Sahin
3   Perinatology, Ankara City Hospital, Cankaya, Turkey
› Author Affiliations
› Further Information
Also available at
    Permissions and Reprints

Abstract

Background Chorioangioma is a vascular neoplasm of the placenta with the potential to cause heart failure, hydrops, and even death.

Case A 30-year-old patient was referred owing to a large placental chorioangioma and fetal hydrops at 28 weeks of gestation. The patient underwent ultrasound-guided interstitial laser ablation. Ten days later, fetal blood transfusion was performed and at 31 weeks of gestation, and the patient delivered a female infant by cesarean section. The newborn was discharged from the neonatal intensive care unit without any complication.

Conclusion According to our case, large placental chorioangioma may have a favorable outcome with interstitial laser ablation and fetal transfusion.

Key words

Doppler ultrasound - fetal blood sampling - hemoglobin


Publication History

Received: 19 December 2021

Accepted after revision: 08 April 2022

Article published online:
24 May 2022

© 2022. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

  • References

  • 1 Fan M, Skupski DW. Placental chorioangioma: literature review. J Perinat Med 2014; 42: 273-279
    CrossrefPubMedGoogle Scholar
  • 2 Fan M, Mootabar H. A rare giant placental chorioangioma with favorable outcome: A case report and review of the literature. JCU 2015; 43: 254-256
    PubMedGoogle Scholar
  • 3 Guschmann M, Henrich W, Dudenhausen JW. Chorioangiomas – new insights into a well-known problem. II. An immuno-histochemical investigation of 136 cases. J Perinat Med 2003; 31: 170-175
    PubMedGoogle Scholar
  • 4 Hosseinzadeh P, Shamshirsaz AA, Javadian P. et al. Prenatal therapy of large placental chorioangiomas: case report and review of the literature. AJP Rep 2015; 5: e196-e202
    Article in Thieme ConnectPubMedGoogle Scholar
  • 5 Buca D, Lacovella C, Khalil A. et al. Perinatal outcome of pregnancies complicated by placental chorioangioma: systematic review and meta-analysis. Ultrasound Obstet Gynecol 2020; 55: 441-449
    CrossrefPubMedGoogle Scholar
  • 6 Thammavong K, Luewan S, Jatavan P. et al. Foetal haemodynamic response to anaemia. ESC Heart Fail 2020; 7: 3473-3482
    CrossrefPubMedGoogle Scholar
  • 7 Tongsong T, Tongprasert F, Srisupundit K. et al. Venous Doppler studies in low-output and high-output hydrops fetalis. Am J Obstet Gynecol 2010; 203: 488.e1-488.e6
    CrossrefPubMedGoogle Scholar
  • 8 Bermudez C, Luengas O, Pérez-Wulff J. et al. Management of a placental chorioangioma with endoscopic devascularization and intrauterine transfusions. Ultrasound Obstet Gynecol 2007; 29: 97-98
    CrossrefPubMedGoogle Scholar
  • 9 Jones K, Tierney K, Grubbs BH. et al. Fetoscopic laser photocoagulation of feeding vessels to a large placental chorioangioma following fetal deterioration after amnioreduction. Fetal Diagn Ther 2012; 31: 191-195
    CrossrefPubMedGoogle Scholar
  • 10 Bhide A, Prefumo F, Sairam S. et al. Ultrasound-guided interstitial laser therapy for the treatment of placental chorioangioma. Obstet Gynecol 2003; 102: 1189-1191
    PubMedGoogle Scholar