Fetal Vascular Malperfusion

Archives of Pathology & Laboratory Medicine
Amer Heider

Abstract

- Fetal vascular malperfusion, also known as fetal thrombotic vasculopathy, remains an underrecognized pathologic finding and should be noted during placental evaluation. - To review histologic findings, gain familiarity with the updated terminology, and to recognize important clinical associations with this entity. - University of Michigan cases, PubMed search, multiple review articles including recent placental workshop group consensus statement, and selected book chapters. - Multiple histologic patterns of fetal vascular malperfusion have been described including thrombosis, avascular villi, villous stromal-vascular karyorrhexis, intramural fibrin thrombi, and stem villous vascular obliteration. Various underlying etiologies can be involved in fetal vascular malperfusion. Cord lesions including abnormal insertion, length, and coiling are important causes. Maternal vascular malperfusion such as preeclampsia, hypercoagulable states, lupus anticoagulant, and sometimes diabetes have been associated with this condition. Fetal cardiac dysfunction/malformations and severe fetal inflammatory response in the setting of ascending intrauterine infection have also been attributed to this important finding. Fetal vascular malperfusion ha...Continue Reading

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Citations

Jun 1, 2018·Archives of Pathology & Laboratory Medicine·Amer Heider
Jun 1, 2018·Archives of Pathology & Laboratory Medicine·Jerzy Stanek
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