Subarachnoid haemorrhage in pregnancy after in vitro fertilisation with egg donation: a case report and review of the literature.

IF 3.1 Q1 OBSTETRICS & GYNECOLOGY
Therapeutic advances in reproductive health Pub Date : 2021-07-31 eCollection Date: 2021-01-01 DOI:10.1177/26334941211023542
Noemi J Hughes, Saeed M S R Choudhury, Sidath H Liyanage, Munawar Hussain
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Abstract

We report a rare case of in vitro fertilisation (IVF) with egg donation complicated by a subarachnoid haemorrhage (SAH). Haemostatic changes related to IVF are known to increase risk of venous thrombosis; however, less is known regarding the risk of arterial events such as cerebrovascular accidents (CVA). Matrix metalloprotease-9 (MMP-9) upregulated in IVF patients may have a role in arterial aneurysm formation, which is the most common cause of SAH. Further research is required to assess the benefit of screening for risk of CVA and the best way to manage this in the IVF population. This may have implications for the ethics of offering certain procedures such as egg donation to women with pre-existing risk factors.

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卵子捐赠体外受精后妊娠的蛛网膜下腔出血:一例报告和文献回顾。
我们报告一例罕见的体外受精(IVF)与卵子捐赠并发蛛网膜下腔出血(SAH)。与体外受精相关的止血变化已知会增加静脉血栓形成的风险;然而,关于动脉事件如脑血管事故(CVA)的风险知之甚少。体外受精患者中基质金属蛋白酶-9 (MMP-9)的上调可能与动脉瘤形成有关,动脉瘤形成是SAH最常见的原因。需要进一步的研究来评估筛查CVA风险的益处以及在试管婴儿人群中管理这种风险的最佳方法。这可能会对提供某些程序的伦理产生影响,例如向已有风险因素的妇女捐赠卵子。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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