Umbilical artery regression: A rare complication of intravascular fetal transfusion

James F. Smith; Kim D. Warner; Michele Bergmann; Michael J. Pushchak

doi:10.1016/S0029-7844(98)00502-X

Umbilical artery regression: A rare complication of intravascular fetal transfusion

James F. Smith, Kim D. Warner, Michele Bergmann, Michael J. Pushchak

Department of Obstetrics & Gynecology

Research output: Contribution to journal › Article

7 Scopus citations

Abstract

Background: Intravascular fetal transfusion is an important therapeutic advance but is associated with several complications. Regression of an umbilical artery associated with transfusion is rare. Case: A case of red blood cell alloimmunization managed by serial transfusions was complicated by functional loss of an umbilical artery during pregnancy. Refractory fetal bradycardia occurred during the last transfusion procedure, requiring emergency preterm cesarean delivery. Coagulative necrosis, thrombosis, and focal calcification of one umbilical artery was confirmed after delivery. Conclusion: Umbilical artery regression associated with transfusion therapy is rare and may complicate subsequent fetal transfusions.

Original language	English (US)
Pages (from-to)	828-829
Number of pages	2
Journal	Obstetrics and Gynecology
Volume	93
Issue number	5 SUPPL.
DOIs	https://doi.org/10.1016/S0029-7844(98)00502-X
State	Published - May 1 1999

All Science Journal Classification (ASJC) codes

Obstetrics and Gynecology

Access to Document

10.1016/S0029-7844(98)00502-X

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Smith, J. F., Warner, K. D., Bergmann, M., & Pushchak, M. J. (1999). Umbilical artery regression: A rare complication of intravascular fetal transfusion. Obstetrics and Gynecology, 93(5 SUPPL.), 828-829. https://doi.org/10.1016/S0029-7844(98)00502-X

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AB - Background: Intravascular fetal transfusion is an important therapeutic advance but is associated with several complications. Regression of an umbilical artery associated with transfusion is rare. Case: A case of red blood cell alloimmunization managed by serial transfusions was complicated by functional loss of an umbilical artery during pregnancy. Refractory fetal bradycardia occurred during the last transfusion procedure, requiring emergency preterm cesarean delivery. Coagulative necrosis, thrombosis, and focal calcification of one umbilical artery was confirmed after delivery. Conclusion: Umbilical artery regression associated with transfusion therapy is rare and may complicate subsequent fetal transfusions.

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