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Successful term pregnancy after selective embolization of a large postmolar uterine arteriovenous malformation
  1. C. C. Tsai*,
  2. Y. F. Cheng,
  3. C. C. Changchien* and
  4. H. Lin*
  1. * Departments of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Kaohsiung, Taiwan
  2. Departments of Radiology, Chang Gung Memorial Hospital, Kaohsiung, Taiwan
  1. Address correspondence and reprint requests to: Hao Lin, MD, 123, Ta Pei Road, Niao Sung Hsiang, Kaohsiung Hsien 83305, Taiwan. Email: haolin{at}adm.cgmh.org.tw

Abstract

Uterine arteriovenous malformations (AVM) are very uncommon disorders. Successful conservative treatment with subsequently conceived is rarely reported. We describe a 31-year-old woman with a complex and large postmolar AVM; she was successfully treated with transarterial selective embolization for a long history of repeated excessive vaginal bleeding and anemia. She resumed normal menstrual periods soon after treatment, and she subsequently conceived about 2 years later. A healthy male baby was delivered at 39 weeks of gestation via vaginal route. Selective embolization of a complex and large uterine AVM seems to be feasible for the treatment of uterine bleeding and preservation of reproductive capability.

  • pregnancy
  • transarterial embolization
  • uterine arteriovenous malformation

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