Fetal diagnosis and therapy · 2006
Emergent fetal intracardiac transfusion for thrombocytopenia and acute hypovolemia due to cordocentesis-associated hemorrhage in parvovirus-induced hydrops.
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Sarno Albert P, Feinstein Steven J, Bell Joseph G, Parikh Reshma, Papazian Karen
Аннотация
OBJECTIVES: To demonstrate the utility of fetal intracardiac transfusion to correct acute fetal hypovolemia and thrombocytopenia in fetal Parvovirus infection.
METHODS: Intracardiac transfusion in a 19-week gestation was indicated due to cordocentesis-associated hemorrhage.
RESULTS: Intracardiac transfusion resulted in correction of acute bradycardia, anemia and thrombocytopenia and persistent umbilical cord hemorrhage following attempted intravascular transfusion.
CONCLUSIONS: This case illustrates the importance of anticipating both thrombocytopenia and anemia in fetal Parvovirus infection and how an intracardiac approach can be employed in the setting of acute, life-threatening hemorrhage.
METHODS: Intracardiac transfusion in a 19-week gestation was indicated due to cordocentesis-associated hemorrhage.
RESULTS: Intracardiac transfusion resulted in correction of acute bradycardia, anemia and thrombocytopenia and persistent umbilical cord hemorrhage following attempted intravascular transfusion.
CONCLUSIONS: This case illustrates the importance of anticipating both thrombocytopenia and anemia in fetal Parvovirus infection and how an intracardiac approach can be employed in the setting of acute, life-threatening hemorrhage.