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Case Report
Cerclage placement in coexistence of vasa previa and short cervix: The role of ultrasound mapping of fetal vessels
1 Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, NYU Langone Hospital Long Island and NYU Grossman Long Island School of Medicine, Mineola, NY, USA
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Ifeoma M Ogamba-Alphonso
259 1st St, Mineola, NY 11501,
USA
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Article ID: 100202Z08IA2025
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Ogamba-Alphonso IM, Kantorowska A, Chavez MR, Kunzier NB. Cerclage placement in coexistence of vasa previa and short cervix: The role of ultrasound mapping of fetal vessels. J Case Rep Images Obstet Gynecol 2025;11(1):69–72.ABSTRACT
Introduction: The role of cerclage in patients with cervical shortening and vasa previa is understudied. Our case highlights the use of fetal vessel mapping by ultrasound to guide surgical technique and placement of cerclage in a patient with vasa previa.
Case Report: A 38-year-old primigravida with type 1 vasa previa and progressive cervical length shortening to 1 cm with funneling and amniotic fluid sludge underwent McDonald cerclage placement utilizing fetal vessel mapping. The cerclage was successfully placed without rupture of membranes and pregnancy was prolonged.
Conclusion: Cerclage placement may be a reasonable option to prevent further cervical shortening and preterm birth in patients with vasa previa if fetal vessel mapping by ultrasound is used to guide surgical technique.
Keywords: Cerclage, Cervical insufficiency, Preterm birth, Vasa previa
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Author Contributions
Ifeoma M Ogamba-Alphonso - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Agata Kantorowska - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Martin R Chavez - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Nadia B Kunzier - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2025 Ifeoma M Ogamba-Alphonso et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
