Abstract：
Giant placental chorioangiomas associated with fetal hyperdynamic circulation complications are rare to see. Here, we summarized a case of giant placental chorioangioma associated with fetal anemia and heart failure treated by radiofrequency ablation (RFA) combined with cordocentesis and intrauterine transfusion. The sonographic appearance of the placental chorioangioma was atypical which was isoechoic with unclear boundary. RFA was performed successfully at 27 weeks of gestation, when the chorioangioma has increased to 17.0 × 10.6 × 12.3 cm3 . Unfortunately, intrauterine fetal demise was found on the first day after operation. After induction of labor, it was pathologically confirmed as placental chorioangioma.
摘要：
与胎儿高动力循环并发症相关的巨大胎盘绒毛膜血管瘤很少见。这里,我们总结了一例巨大胎盘绒毛膜血管瘤合并胎儿贫血和心力衰竭的病例,该病例采用射频消融术(RFA)联合脐带穿刺术和宫内输血治疗.胎盘绒毛膜血管瘤的超声表现不典型，等回声，边界不清。在妊娠27周时成功进行了RFA，当绒毛膜血管瘤增加到17.0×10.6×12.3cm3时。不幸的是,术后第一天发现胎儿宫内死亡。引产后,经病理证实为胎盘绒毛膜血管瘤。
