Prenatal diagnosis and therapy of upper extremity vascular malformation causing high cardiac output and Kasabach-Merritt sequence: a report of two cases.
We present two cases of upper extremity vascular malformation causing a high output state in the prenatal period. One fetus responded well to transplacental digitalis treatment. Both newborns had a Kasabach-Meritt sequence including anemia and thrombocytopenia. Postpartum treatment included successful interventional occlusion of the main feeding arteries and subsequent surgical removal of the tumor.
Kamil
D
D
Department of Obstetrics and Prenatal Medicine, University of Bonn, Bonn, Germany. daniel.kamil@ukb.uni-bonn.de
Geipel
A
A
Heep
A
A
Breuer
J
J
Knöpfle
G
G
Gembruch
U
U
Berg
C
C
D000740:Anemia / Q000209:etiology; D001132:Arm / Q000002:abnormalities* / Q000098:blood supply; D001165:Arteriovenous Malformations / Q000000981:diagnostic imaging* / Q000628:therapy; D021721:Balloon Occlusion / Q000379:methods; D016534:Cardiac Output, High / Q000188:drug therapy / Q000209:etiology*; D002316:Cardiotonic Agents / Q000627:therapeutic use; D004071:Digitalis Glycosides / Q000627:therapeutic use; D005260:Female; D005333:Fetus / Q000002:abnormalities*; D006801:Humans; D007231:Infant, Newborn; D011247:Pregnancy; D013921:Thrombocytopenia / Q000209:etiology; D016216:Ultrasonography, Prenatal / Q000379:methods*
D002316:Cardiotonic Agents; D004071:Digitalis Glycosides