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Obstetrics and gynecology · Oct 2003
Case ReportsEmbolization of a uterine arteriovenous malformation followed by a twin pregnancy.
- Manish Gopal, Jay Goldberg, Thomas A Klein, and Gregory T Fossum.
- Department of Obstetrics and Gynecology, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania 19107, USA. manishgopal@yahoo.com
- Obstet Gynecol. 2003 Oct 1; 102 (4): 696-8.
BackgroundUterine arteriovenous malformation is a lesion that can cause recurrent pregnancy loss. Very few successful pregnancies have been reported after selective embolization of an arteriovenous malformation.CaseA 42-year-old gravida 6 para 0 with a history of four first-trimester spontaneous abortions was found to have a uterine arteriovenous malformation by hysterosalpingogram, which was confirmed by magnetic resonance angiography. She underwent selective transcatheter embolization of the arteriovenous malformation. A twin gestation was later conceived via in vitro fertilization. The twins were delivered by cesarean at term.ConclusionUterine arteriovenous malformation can be successfully treated with selective embolization, with good obstetric outcome.
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