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Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
Delivery by cesarean section after embolization for vaginal arteriovenous malformation
Toru Hasegawa1, Yoshihiro Yamakawa, Satoshi Ota
1Department of Obstetrics and Gynecology, Saiseikai Takaoka Hospital, Toyama, Japan. hase10ttnt@msn.com
Abstract:
Vaginal arteriovenous malformation (AVM) can lead to life-threatening complications on delivery. No deliveries have been reported after selective embolization for a vaginal AVM. A 34-year-old nulliparous woman was found to have an arterial pulsatile mass on the left vaginal wall. The findings of magnetic resonance imaging and magnetic resonance angiography were consistent with an AVM. Selective transcatheter embolization for the AVM was done and, afterwards, the patient was found to be pregnant. The prenatal course was uneventful and the patient underwent elective cesarean delivery at term. Vaginal AVM can be successfully treated with selective embolization, with a good obstetric outcome.
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