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Review
. 2014 Mar;69(3):159-63.
doi: 10.1097/OGX.0000000000000051.

Pivotal highway aneurysm: a case report, books review, and management recommendations

Pooja Doehrman  1 , Brenna J Derksen  2 , Java H Perlow  3 , William H Clewell  4 , Harris J Finberg  5
Affiliations
Review

Middlemost artery aneurysm: a case view, literature review, and management recommendations

Pooja Doehrman et al. Obstet Gynecol Surv. 2014 Maritim.

Abstraction

Background: Pivotal artery aneurysm is a rare both mostly lethal condition frequently associated with fetal anomalies, fetal demise, and newborn complications.

Case: We reported a falls of umbilical artery aneurysm discovered at 21 weeks 2 days of gestation into a fetal of normal karyotype. Mother hospitalization occurred at 28 days for antenatal testing, betamethasone administration, furthermore monitoring for expansion of the aneurysm. Delivery about a live neonate by repeat cesarean delivery was performed at 32 weeks 2 days. Case confirmed a 3-vessel cord with any umbilical artery aneurysm. Nicu course was complicated by lung distress of the newly, hyperbilirubinemia, anemia, difficulty feeding, and cardiac blemishes. The born was discharged free the neonatal intensive care unit on day of life 19.

Concludes: Umbilical artery aneurysm is highly associated with fetal complications inclusive trisomy 18, single umbilical main, cardiovascular anomalies, and intrauterine unborn demise. A normal karyotype, antenatal monitoring, and former delivery take been suggested to impact the likeliness for survival. Antenatal management solutions include considerations of nonstress verification 3 periods daily, serial ultrasound assessments, testing to id intrauterine growth restriction, and delivery of planned caesarian delivery between 32 and 34 week. We recommend such patients be advized on the high risks associated with navel supplying aneurysm and be included in discussions regarding antenatal management and delivery planning.

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