Maternal floor infarction: Management of an underrecognized pathology

TY - JOUR

T1 - Maternal floor infarction

T2 - Management of an underrecognized pathology

AU - Al-Sahan, Nada

AU - Grynspan, David

AU - von Dadelszen, Peter

AU - Gruslin, Andrée

PY - 2014/1

Y1 - 2014/1

N2 - Maternal floor infarction is a relatively rare condition characterized clinically by severe early onset fetal growth restriction with features of uteroplacental insufficiency. It has a very high recurrence rate and carries a significant risk or fetal demise. Pathological characteristics include massive and diffuse fibrin deposition along the decidua basalis and the perivillous space of the basal plate. We present a case of recurrent maternal floor infarction and propose diagnostic clues as well as potential therapeutic options.

AB - Maternal floor infarction is a relatively rare condition characterized clinically by severe early onset fetal growth restriction with features of uteroplacental insufficiency. It has a very high recurrence rate and carries a significant risk or fetal demise. Pathological characteristics include massive and diffuse fibrin deposition along the decidua basalis and the perivillous space of the basal plate. We present a case of recurrent maternal floor infarction and propose diagnostic clues as well as potential therapeutic options.

KW - diagnosis, elevated α-fetoprotein, fetal growth restriction, fibrin deposition, globular placenta, maternal floor infarction, therapy

U2 - 10.1111/jog.12159

DO - 10.1111/jog.12159

M3 - Article

SN - 1341-8076

VL - 40

SP - 293

EP - 296

JO - Journal of Obstetrics and Gynaecology Research

JF - Journal of Obstetrics and Gynaecology Research

IS - 1

ER -