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GIANT CHORIOANGIOMA TREATED IN UTERO VIA LASER OF FEEDING VESSELS WITH SUBSEQUENT DEVELOPMENT OF MULTIFOCAL INFANTILE HEMANGIOMAS
Affilliation
Los Angeles County. Divisão de Medicina Neonatal. Departamento de Pediatria. Los Angeles, CA, EUA. / University of Southern California. Keck School of Medicine. Los Angeles, CA, EUA.
Fundação Oswaldo Cruz. Instituto Fernandes Figueira. Departamento de Obstetricia. Setor de Medicina Fetal. Rio de Janeiro, RJ, Brasil.
Sharp Rees-Stealy Medical Group. Division of Dermatology. San Diego, CA, USA.
Los Angeles County. Divisão de Medicina Neonatal. Departamento de Pediatria. Los Angeles, CA, EUA. / University of Southern California. Keck School of Medicine. Los Angeles, CA, EUA.
University of Southern California. Keck School of Medicine. Department of Obstetrics and Gynecology. Division of Maternal-Fetal Medicine. Los Angeles, CA, USA.
Fundação Oswaldo Cruz. Instituto Fernandes Figueira. Departamento de Obstetricia. Setor de Medicina Fetal. Rio de Janeiro, RJ, Brasil.
Sharp Rees-Stealy Medical Group. Division of Dermatology. San Diego, CA, USA.
Los Angeles County. Divisão de Medicina Neonatal. Departamento de Pediatria. Los Angeles, CA, EUA. / University of Southern California. Keck School of Medicine. Los Angeles, CA, EUA.
University of Southern California. Keck School of Medicine. Department of Obstetrics and Gynecology. Division of Maternal-Fetal Medicine. Los Angeles, CA, USA.
Abstract
We report a case of a giant placental chorioangioma (15.6 cm diameter) complicated by polyhy-dramnios and severe fetal heart failure. Fetoscopic laser occlusion of a dominant feeding vessel
was performed at 29 weeks’ gestation and partial devascularization was achieved. In the 33rd
week of the pregnancy, the decisionwasmade topreemptively deliver the fetus due topersistent
signs of fetal cardiac failure. After birth, the infant developed multifocal infantile hemangiomas
with extracutaneous involvement. We posit that the development of infantile hemangiomasmay
be linked to the presence of the large chorioangioma. Further study is required to ascertain if fetal
treatment of the chorioangiomamay have been an exacerbating factor.
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