Fetal Thrombotic Vasculopathy
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Fetal thrombotic vasculopathy is a chronic disorder characterized by
thrombosis Thrombosis (from Ancient Greek "clotting") is the formation of a blood clot inside a blood vessel, obstructing the flow of blood through the circulatory system. When a blood vessel (a vein or an artery) is injured, the body uses platelets (thro ...
in the
fetus A fetus or foetus (; plural fetuses, feti, foetuses, or foeti) is the unborn offspring that develops from an animal embryo. Following embryonic development the fetal stage of development takes place. In human prenatal development, fetal deve ...
leading to vascular obliteration and
hypoperfusion Perfusion is the passage of fluid through the circulatory system or lymphatic system to an organ or a tissue, usually referring to the delivery of blood to a capillary bed in tissue. Perfusion is measured as the rate at which blood is deliver ...
. It is associated with
cerebral palsy Cerebral palsy (CP) is a group of movement disorders that appear in early childhood. Signs and symptoms vary among people and over time, but include poor coordination, stiff muscles, weak muscles, and tremors. There may be problems with sensa ...
and
stillbirth Stillbirth is typically defined as fetal death at or after 20 or 28 weeks of pregnancy, depending on the source. It results in a baby born without signs of life. A stillbirth can result in the feeling of guilt or grief in the mother. The term ...
. It is more common in women who have diabetes mellitus.


Diagnosis

It can be diagnosed by histomorphologic examination of the
placenta The placenta is a temporary embryonic and later fetal organ that begins developing from the blastocyst shortly after implantation. It plays critical roles in facilitating nutrient, gas and waste exchange between the physically separate mater ...
and is characterized by fetal vessel thrombosis and clustered fibrotic
chorionic villi Chorionic villi are villi that sprout from the chorion to provide maximal contact area with maternal blood. They are an essential element in pregnancy from a histomorphologic perspective, and are, by definition, a product of conception. Branche ...
without
blood vessel The blood vessels are the components of the circulatory system that transport blood throughout the human body. These vessels transport blood cells, nutrients, and oxygen to the tissues of the body. They also take waste and carbon dioxide away ...
s. Image: Fetal thrombotic vasculopathy - low mag.jpg , Low mag. Image: Fetal thrombotic vasculopathy - high mag.jpg , High mag. Image: Fetal thrombotic vasculopathy - very high mag.jpg , Very high mag.


See also

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Hypertrophic decidual vasculopathy In pathology, hypertrophic decidual vasculopathy, abbreviated HDV, is the histomorphology, histomorphologic correlate of gestational hypertension, as may be seen in intrauterine growth restriction (IUGR) and HELLP syndrome. The name of the condi ...


References

{{Reflist Cerebral palsy and other paralytic syndromes Health issues in pregnancy