Document Detail


Radiographic and pathologic evaluation of idiopathic infantile arterial calcification.
MedLine Citation:
PMID:  20093882     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Idiopathic infantile arterial calcification is a rare disorder that often results in fetal or neonatal demise. Few reports have detailed an early diagnosis, complete antenatal and postnatal imaging, and postmortem findings. CASE: A patient presented at 33 weeks of gestation with hydrops fetalis. Idiopathic infantile arterial calcification was diagnosed using a fetal echocardiogram, and fetal demise occurred shortly thereafter. A complete postmortem evaluation included radiography and pathology. The patient's postpartum course was complicated by maternal respiratory distress and pulmonary edema. CONCLUSION: Finding calcified vessels in the context of fetal hydrops should lead one to consider idiopathic infantile arterial calcification. This diagnosis has important maternal and fetal implications. The detailed evaluation in this case is useful to clinicians in making a definitive diagnosis of idiopathic infantile arterial calcification. Clinicians should be aware that serious maternal complications can occur in these types of cases.
Authors:
Cara C Heuser; Michael Puchalski; Anne Kennedy; Nikhil Sangle; Tracy Manuck; Robert Andres
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  115     ISSN:  1873-233X     ISO Abbreviation:  Obstet Gynecol     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-01-22     Completed Date:  2010-05-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  465-8     Citation Subset:  AIM; IM    
Affiliation:
Department of Obstetrics and Gynecology, the University of Utah, Salt Lake City, Utah 84132, USA. cara.heuser@utah.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Angiography
Arteries / pathology
Calcinosis / pathology*,  radiography*
Cardiomyopathy, Hypertrophic / ultrasonography
Echocardiography
Female
Humans
Hydrops Fetalis / pathology*,  radiography*
Pregnancy
Pregnancy Trimester, Third
Tomography, X-Ray Computed

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