Document Detail

Klippel-Trenaunay syndrome and pregnancy.
MedLine Citation:
PMID:  12865887     Owner:  NLM     Status:  MEDLINE    
General recommendations on how to deal with pregnancy in patients with Klippel-Trenaunay syndrome (KTS) are rare. We describe the case of a 32-year-old female with KTS, involving the head and the left arm and leg, delivering a healthy female child, and are reviewing the recent literature. The risk to deliver an ill child is low in women with KTS. At the end of the 1st trimester a sonographic investigation can exclude angiodysplastic alterations of the fetus. If the fetus shows changes compatible with KTS, a termination can be discussed because the risk of fatal complications after delivery is high. During pregnancy the careful monitoring of coagulopathic disorders is necessary. Prior to delivery an MR-scan may be useful to detect angiodysplastic vascular structures next to the spinal cord, pelvic structures or the lower abdominal wall, which might complicate peridural anesthesia or caesarean section.
K Hergesell; K Kröger; S Petruschkat; F Santosa; C Herborn; G Rudofsky
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  International angiology : a journal of the International Union of Angiology     Volume:  22     ISSN:  0392-9590     ISO Abbreviation:  Int Angiol     Publication Date:  2003 Jun 
Date Detail:
Created Date:  2003-07-16     Completed Date:  2004-03-19     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  8402693     Medline TA:  Int Angiol     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  194-8     Citation Subset:  IM    
Department of Angiology, University of Essen, Essen, Germany.
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MeSH Terms
Anticoagulants / therapeutic use
Klippel-Trenaunay-Weber Syndrome / diagnosis*,  therapy
Leg / blood supply
Maternal Welfare
Thrombolytic Therapy
Venous Thrombosis / diagnosis,  therapy
Reg. No./Substance:
Comment In:
Int Angiol. 2003 Sep;22(3):328   [PMID:  14612863 ]

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