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

Authors

  • Tetsuya Kawakita,

    Corresponding author
    1. Department of Obstetrics and Gynecology, Center for Maternal Fetal Medicine, Ishikawa Prefectural Central Hospital, Kanazawa, Japan
      Dr Tetsuya Kawakita, Department of Obstetrics and Gynecology, Center for Maternal Fetal Medicine, Ishikawa Prefectural Central Hospital, 2-1 Kuratsuki-Higashi, Kanazawa, Ishikawa 920-8530, Japan. Email: tetsuya649@gmail.com
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  • Hiromasa Sasaki,

    1. Department of Obstetrics and Gynecology, Center for Maternal Fetal Medicine, Ishikawa Prefectural Central Hospital, Kanazawa, Japan
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  • Shinya Hirabuki,

    1. Department of Obstetrics and Gynecology, Center for Maternal Fetal Medicine, Ishikawa Prefectural Central Hospital, Kanazawa, Japan
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  • Akihiro Asamoto

    1. Department of Obstetrics and Gynecology, Center for Maternal Fetal Medicine, Ishikawa Prefectural Central Hospital, Kanazawa, Japan
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Dr Tetsuya Kawakita, Department of Obstetrics and Gynecology, Center for Maternal Fetal Medicine, Ishikawa Prefectural Central Hospital, 2-1 Kuratsuki-Higashi, Kanazawa, Ishikawa 920-8530, Japan. Email: tetsuya649@gmail.com

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.

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