Sonographic Diagnosis of Fetal Intracranial Hemorrhage in a Gravida on Warfarin Therapy
Journal of the Korean Society of Medical Ultrasound
;
: 135-138, 2008.
Article
in English
| WPRIM
| ID: wpr-725453
ABSTRACT
A 34-year-old Korean woman who had been taking warfarin for 14 years after mitral valve replacement became pregnant. She was heparinized betwen 6 and14 weeks of gestation and was then restarted on oral anticoagulants. At 32 weeks of gestation, fetal ultrasonography revealed overt enlargement of the left lateral ventricles. There was an echogenic mass in the right hemisphere with mild ventricular enlargement. An elective repeat cesarean section was performed. Three days later, the neonate underwent a Burr-hole procedure, from which bloody fluid was drained and the intracranial hemorrhage was confirmed. We must keep in mind the severe adverse fetal outcomes associated with warfarin-induced fetal intracranial hemorrhage during pregnancy. Despite its therapeutic advantages, regular fetal monitoring, ultrasonography, and management of prothrombin time are needed.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Prothrombin Time
/
Warfarin
/
Heparin
/
Ultrasonography, Prenatal
/
Cesarean Section, Repeat
/
Lateral Ventricles
/
Intracranial Hemorrhages
/
Fetal Monitoring
/
Mitral Valve
/
Anticoagulants
Type of study:
Diagnostic study
Limits:
Adult
/
Female
/
Humans
/
Infant, Newborn
/
Pregnancy
Language:
English
Journal:
Journal of the Korean Society of Medical Ultrasound
Year:
2008
Type:
Article
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