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In vitro fertilization: An alert for the association of placenta previa and vasa previa – Ultrasound and magnetic resonance imaging findings
Juliana Pagotto Trevizo, Edward Araujo Júnior, Julio Elito Júnior
Department of Obstetrics, Paulista School of Medicine - Federal University of São Paulo (EPM-UNIFESP), São Paulo, Brazil
Correspondence Address:
Edward Araujo Júnior,
Rua Belchior de Azevedo, 156 Apto. 111 Torre Vitoria, São Paulo
Brazil
 Source of Support: None, Conflict of Interest: None
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A 33-year-old woman, gravida 2 para 0, with a history of two previous miscarriages, underwent an investigation for recurrent miscarriage. After genetic counseling, the couple were submitted to the karyotype, which resulted in 45, X/46, XX mosaicism (mosaic Turner syndrome) in the wife result, while the husband chromosomal resulted in 46, XY (normal). After evaluating the options, the couple opted for in vitro fertilization. During prenatal follow-up, placenta and vasa previa were identified, considerably increasing the maternal–fetal mortality rate in this case. However, despite being a delicate and challenging case, the early diagnose was possible due to transvaginal ultrasound using color Doppler. Due to good care in obstetric follow-up, involving a multidisciplinary team, a therapeutic program and a successful outcome were possible. The patient underwent a cesarean section at 35 weeks of pregnancy, without complications, with a newborn in good general condition, despite the prematurity.
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