Fetal growth restriction and reversed middle cerebral artery end-diastolic flow with subchorionic placental lake

J Obstet Gynaecol Res. 2013 Feb;39(2):578-82. doi: 10.1111/j.1447-0756.2012.01994.x. Epub 2012 Aug 26.

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.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Cerebrovascular Circulation
  • Female
  • Fetal Growth Retardation / etiology*
  • Fetal Growth Retardation / pathology
  • Humans
  • Live Birth
  • Middle Cerebral Artery / abnormalities*
  • Middle Cerebral Artery / pathology
  • Middle Cerebral Artery / physiopathology
  • Placenta Diseases / pathology
  • Placenta Diseases / physiopathology*
  • Pregnancy
  • Severity of Illness Index