Abruptio placentae during fetal myelomeningocele repair.
Myelomeningocele (MM) is a congenital neural tube defect with serious consequences, including hydrocephaly. An important hope for intrauterine repair is that hydrocephaly may be prevented by reversing the Arnold-Chiari malformation. Three medical centers in the United States are doing trials with this objective. We describe an intrauterine correction of MM in a Brazilian research center of fetal medicine, which resulted in abruptio placentae and fetal death, to illustrate factors that influence fetal-maternal risks during this surgical procedure.
Barini
Ricardo
R
Department of Surgery, Faculdade de Ciências Médicas, Division of Pediatric Surgery and Maternal Fetal Medicine, State University of Campinas, UNICAMP, Campinas, Brazil.
Barreto
Maria Weber G
MW
Cursino
Kleber
K
Zambelli
Herder
H
Prando
Adilson
A
Sbragia
Lourenço
L
D000037:Abruptio Placentae / Q000209:etiology* / Q000473:pathology; D000328:Adult; D005260:Female; D006801:Humans; D007431:Intraoperative Complications / Q000209:etiology*; D008591:Meningomyelocele / Q000150:complications / Q000601:surgery*; D011247:Pregnancy; D012307:Risk Factors