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Rivista di Angiologia

Official Journal of the International Union of Angiology, the International Union of Phlebology and the Central European Vascular Forum
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International Angiology 2003 June;22(2):194-8

lingua: Inglese

Klip­pel-Tre­nau­nay syn­drome and preg­nan­cy

Hergesell K. 1, Kroger K. 1, Petruschkat S. 2, Santosa F. 3, Herborn C. 4, Rudofsky G. 1

1 Depart­ment of Angi­ol­o­gy, Uni­ver­sity of Essen, Essen, Ger­ma­ny
2 Depart­ment of Obstet­rics, Uni­ver­sity of Essen, Essen, Ger­ma­ny
3 Nation­al Car­diac Cen­ter, Jakar­ta, Indo­ne­sia
4 Depart­ment of Radiol­o­gy, Uni­ver­sity of Essen, Essen, Ger­ma­ny


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.

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