title: Fetal growth restriction and reversed middle cerebral artery end-diastolic flow with subchorionic placental lake.
abstract: Fetal growth restriction (FGR) is frequently associated with uteroplacental insufficiency. Placental lakes are avillous spaces filled with maternal venous blood that usually do not compromise the pregnancy outcome; however, a few reports describe FGR in association with placental lakes. Reversed middle cerebral artery (MCA) end-diastolic flow is a rare event and a potential indicator of poor fetal outcome due to placental insufficiency. We report a case of severe FGR associated with a huge subchorionic placental lake concomitant with reversed MCA end-diastolic flow. We also conducted a literature review.
authors.affiliation: Department of Obstetrics and Gynecology, Center for Maternal Fetal Medicine, Ishikawa Prefectural Central Hospital, Kanazawa, Japan. tetsuya649@gmail.com
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Kawakita
authors.forename: Hiromasa
authors.initials: H
authors.lastname: Sasaki
authors.forename: Shinya
authors.initials: S
authors.lastname: Hirabuki
authors.forename: Akihiro
authors.initials: A
authors.lastname: Asamoto
mesh_terms: D000328:Adult; D002560:Cerebrovascular Circulation; D005260:Female; D005317:Fetal Growth Retardation / Q000209:etiology* / Q000473:pathology; D006801:Humans; D050498:Live Birth; D020768:Middle Cerebral Artery / Q000002:abnormalities* / Q000473:pathology / Q000503:physiopathology; D010922:Placenta Diseases / Q000473:pathology / Q000503:physiopathology*; D011247:Pregnancy; D012720:Severity of Illness Index