Embolization of a uterine arteriovenous malformation followed by a twin pregnancy

• Published in: Obstetrics and gynecology (New York. 1953) Vol. 102; no. 4; pp. 696 - 698
• Main Authors: Gopal, Manish, Goldberg, Jay, Klein, Thomas A, Fossum, Gregory T
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01.10.2003; Elsevier Science
• Subjects: Adult; Arteriovenous Malformations - diagnosis; Arteriovenous Malformations - diagnostic imaging; Arteriovenous Malformations - therapy; Biological and medical sciences; Cesarean Section; Diagnosis, Differential; Diseases of mother, fetus and pregnancy; Embolization, Therapeutic; Female; Fertilization in Vitro; Genital system. Mammary gland; Gynecology. Andrology. Obstetrics; Humans; Hysterosalpingography; Magnetic Resonance Angiography; Medical sciences; Pregnancy; Pregnancy, Multiple; Pregnancy. Fetus. Placenta; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects); Twins; Uterus - blood supply; Human; Pregnancy disorders; Radiodiagnosis; Instrumentation therapy; Cardiovascular disease; Hysterosalpingography; Congenital disease; Female genital diseases; Vascular disease; Case study; Pregnancy; Habitual abortion; Treatment; Uterus; Uterine diseases; Medical imagery; Adult; Embolization; Female; Arteriovenous malformation
• ISSN: 0029-7844; 1873-233X
• DOI: 10.1016/S0029-7844(03)00714-2

Uterine 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. A 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. Uterine arteriovenous malformation can be successfully treated with selective embolization, with good obstetric outcome.