- 作者：R. Lousquy ; O. Morel ; A. Bisdorff ; L. Drouet ; M. Rossignol ; E. Barranger
- 关键词：Vascular malformation ; Angioma ; Pregnancy ; Thrombosis ; D-dimer ; Physiopathology
- 刊名：Gynecology Obstetrique & Fertilite
- 出版年：2010
- 出版时间：May 2010
- 年：2010
- 卷：38
- 期：5
- 页码：350-357
- 全文大小：270 K
Superficial vascular malformations (MAV), so far called “superficial angioma”, are uncommon and often unknown. The last classification, done by the “International Society for the Study of Vascular Anomalies”, is essential to avoid diagnostic and therapeutic mistakes. Extramedullar localisations are rare. The coexistence of a pregnancy and a MAV states two problems: the medical and paraclinic supervision of the volume of the MAV and its risk of thrombosis with the choice of thrombosis prevention, and the mode of delivery and type of anaesthesia depending on its anatomical location. We revised the management of pregnant women with a MAV illustrating possible troubles to deal with. We reported the cases of two women having for the first one a pharyngolaryngeal MAV, the second a cutaneous MAV located on the leg and needing a multidisciplinary management with obstetricians, anaesthesists, hematologists, dermatologists, ENT, radiologists and pediatricians.