keyword
https://read.qxmd.com/read/36329968/clinical-findings-diagnosis-and-therapy-of-patent-ductus-venosus-in-children-a-case-series
#1
JOURNAL ARTICLE
Yonghua Xiang, Ke Jin, Qifang Cai, Yinghui Peng, Qing Gan
Background: Patent ductus venosus (PDV) is a rare form of congenital portosystemic shunt. Because of the diversity of clinical symptoms and insufficient knowledge of this condition, clinicians often fail to perform targeted examinations, resulting in missed diagnoses and misdiagnoses. This study summarized the clinical and radiological findings, as well as surgical methods, of PDV with the aim of improving early diagnosis and guiding treatment. Methods: Clinical, laboratory, and radiologic data of patients with PDV were analyzed retrospectively...
October 2022: Cardiovascular Diagnosis and Therapy
https://read.qxmd.com/read/35437890/death-and-severe-morbidity-in-isolated-periviable-small-for-gestational-age-fetuses
#2
JOURNAL ARTICLE
Eva Meler, Edurne Mazarico, Anna Peguero, Alba Gonzalez, Judit Martinez, David Boada, Killian Vellvé, Gemma Arca, Maria Dolores Gómez-Roig, Eduard Gratacós, Francesc Figueras
OBJECTIVE: This study aims to predict perinatal death or severe sequelae in isolated small-for-gestational-age fetuses, diagnosed at a periviable gestational age, based on ultrasound and Doppler parameters at diagnosis. DESIGN: Observational study. SETTING: A tertiary perinatal centre. POPULATION: A cohort of singleton non-malformed fetuses suspected to be small for gestational age (estimated fetal weight, EFW, <10th centile) diagnosed at 22...
April 19, 2022: BJOG: An International Journal of Obstetrics and Gynaecology
https://read.qxmd.com/read/33344585/correlation-between-ductus-venosus-spectrum-and-right-ventricular-diastolic-function-in-isolated-single-umbilical-artery-foetus-and-normal-foetus-in-third-trimester
#3
JOURNAL ARTICLE
Tian-Gang Li, Fang Nie, Xiao-Yan Xu
BACKGROUND: Single umbilical artery (SUA) is the most common umbilical cord malformation in prenatal diagnosis. The presence of an SUA can cause blood circulation disorder in the foetus and functional changes of the foetal heart, affecting foetal circulation. The right ventricular diastolic functions in foetuses with isolated SUA and in normal foetuses in the third trimester were evaluated using the spectral Doppler of blood flow in the foetal ductus venosus (DV). AIM: To evaluate the right ventricular diastolic functions in foetuses with isolated SUA and in normal foetuses in the third trimester...
December 6, 2020: World Journal of Clinical Cases
https://read.qxmd.com/read/33299580/congenital-intrahepatic-aorto-portal-fistula-presenting-with-cardiac-failure
#4
Adithya Pathanki, Khalid Sharif, Ian McCafferty, Jane Hartley, Simon McGuirk
Congenital intrahepatic arterio-portal fistulae (cIAPF) are rare, high-flow vascular malformations that usually present with portal hypertension. They almost never cause heart failure, unless there is associated congenital heart disease or the ductus venosus in patent. We present an unusual case of IAPF in an 11-day-old boy, who presented with features of cardiac failure associated with increased N-terminal pro-brain natriuretic peptide (NT pro-BNP). The IAPF arose directly from the aorta, separated from the hepatic artery and divided to separately supply both left and right portal veins...
December 1, 2020: BJR Case Reports
https://read.qxmd.com/read/32407785/society-for-maternal-fetal-medicine-consult-series-52-diagnosis-and-management-of-fetal%C3%A2-growth-restriction-replaces-clinical-guideline-number-3-april-2012
#5
JOURNAL ARTICLE
Juliana Gevaerd Martins, Joseph R Biggio, Alfred Abuhamad
Fetal growth restriction can result from a variety of maternal, fetal, and placental conditions. It occurs in up to 10% of pregnancies and is a leading cause of infant morbidity and mortality. This complex obstetrical problem has disparate published diagnostic criteria, relatively low detection rates, and limited preventative and treatment options. The purpose of this Consult is to outline an evidence-based, standardized approach for the prenatal diagnosis and management of fetal growth restriction. The recommendations of the Society for Maternal-Fetal Medicine are as follows: (1) we recommend that fetal growth restriction be defined as an ultrasonographic estimated fetal weight or abdominal circumference below the 10th percentile for gestational age (GRADE 1B); (2) we recommend the use of population-based fetal growth references (such as Hadlock) in determining fetal weight percentiles (GRADE 1B); (3) we recommend against the use of low-molecular-weight heparin for the sole indication of prevention of recurrent fetal growth restriction (GRADE 1B); (4) we recommend against the use of sildenafil or activity restriction for in utero treatment of fetal growth restriction (GRADE 1B); (5) we recommend that a detailed obstetrical ultrasound examination (current procedural terminology code 76811) be performed with early-onset fetal growth restriction (<32 weeks of gestation) (GRADE 1B); (6) we recommend that women be offered fetal diagnostic testing, including chromosomal microarray analysis, when fetal growth restriction is detected and a fetal malformation, polyhydramnios, or both are also present regardless of gestational age (GRADE 1B); (7) we recommend that pregnant women be offered prenatal diagnostic testing with chromosomal microarray analysis when unexplained isolated fetal growth restriction is diagnosed at <32 weeks of gestation (GRADE 1C); (8) we recommend against screening for toxoplasmosis, rubella, or herpes in pregnancies with fetal growth restriction in the absence of other risk factors and recommend polymerase chain reaction for cytomegalovirus in women with unexplained fetal growth restriction who elect diagnostic testing with amniocentesis (GRADE 1C); (9) we recommend that once fetal growth restriction is diagnosed, serial umbilical artery Doppler assessment should be performed to assess for deterioration (GRADE 1C); (10) with decreased end-diastolic velocity (ie, flow ratios greater than the 95th percentile) or in pregnancies with severe fetal growth restriction (estimated fetal weight less than the third percentile), we suggest weekly umbilical artery Doppler evaluation (GRADE 2C); (11) we recommend Doppler assessment up to 2-3 times per week when umbilical artery absent end-diastolic velocity is detected (GRADE 1C); (12) in the setting of reversed end-diastolic velocity, we suggest hospitalization, administration of antenatal corticosteroids, heightened surveillance with cardiotocography at least 1-2 times per day, and consideration of delivery depending on the entire clinical picture and results of additional evaluation of fetal well-being (GRADE 2C); (13) we suggest that Doppler assessment of the ductus venosus, middle cerebral artery, or uterine artery not be used for routine clinical management of early- or late-onset fetal growth restriction (GRADE 2B); (14) we suggest weekly cardiotocography testing after viability for fetal growth restriction without absent/reversed end-diastolic velocity and that the frequency be increased when fetal growth restriction is complicated by absent/reversed end-diastolic velocity or other comorbidities or risk factors (GRADE 2C); (15) we recommend delivery at 37 weeks of gestation in pregnancies with fetal growth restriction and an umbilical artery Doppler waveform with decreased diastolic flow but without absent/reversed end-diastolic velocity or with severe fetal growth restriction with estimated fetal weight less than the third percentile (GRADE 1B); (16) we recommend delivery at 33-34 weeks of gestation for pregnancies with fetal growth restriction and absent end-diastolic velocity (GRADE 1B); (17) we recommend delivery at 30-32 weeks of gestation for pregnancies with fetal growth restriction and reversed end-diastolic velocity (GRADE 1B); (18) we suggest delivery at 38-39 weeks of gestation with fetal growth restriction when the estimated fetal weight is between the 3rd and 10th percentile and the umbilical artery Doppler is normal (GRADE 2C); (19) we suggest that for pregnancies with fetal growth restriction complicated by absent/reversed end-diastolic velocity, cesarean delivery should be considered based on the entire clinical scenario (GRADE 2C); (20) we recommend the use of antenatal corticosteroids if delivery is anticipated before 33 6/7 weeks of gestation or for pregnancies between 34 0/7 and 36 6/7 weeks of gestation in women without contraindications who are at risk of preterm delivery within 7 days and who have not received a prior course of antenatal corticosteroids (GRADE 1A); and (21) we recommend intrapartum magnesium sulfate for fetal and neonatal neuroprotection for women with pregnancies that are <32 weeks of gestation (GRADE 1A)...
October 2020: American Journal of Obstetrics and Gynecology
https://read.qxmd.com/read/31720744/left-superior-vena-cava-in-the-fetus-a-rarely-isolated-anomaly
#6
JOURNAL ARTICLE
Anne-Frédérique Minsart, Isabelle Boucoiran, Marie-Ange Delrue, François Audibert, Sylvia Abadir, Chantale Lapierre, Emmanuelle Lemyre, Marie-Josée Raboisson
The frequency of chromosomal anomalies among fetuses with isolated persistent left superior vena cava (PLSVC) is still debated. The objective of the present study was to assess the prevalence of genetic and morphological anomalies identified in fetuses with PLSVC. We conducted a single-center retrospective study including all fetuses diagnosed with a PLSVC between 2010 and 2017. PLSVC was categorized as isolated or associated according to antenatal diagnosis of associated congenital heart defects, hypoplastic aortic isthmus, abnormal venous/arterial connections, and extracardiac anomalies...
February 2020: Pediatric Cardiology
https://read.qxmd.com/read/30173274/scimitar-syndrome-associated-with-aberrant-right-subclavian-artery-diaphragmatic-hernia-and-urinary-anomalies-case-report-and-review-of-the-literature
#7
JOURNAL ARTICLE
Tammam Youssef, Hyam Mahmoud, Nicolae Sebastian Ionescu, Daniela Mihaela Stoica, Cosmin Alexandru Grigore, Alin Marcel Nicolescu, Mihaela Bălgrădean, Eliza Elena Cinteză
Scimitar syndrome is a form of a partially or totally right pulmonary venous return to the inferior vena cava, which may associate variably right lung hypoplasia, right pulmonary artery hypoplasia, pulmonary sequestration together with the presence of aortopulmonary collaterals from the descending aorta towards the right lung. In many cases, there are also other cardiac anomalies associated. We present a unique association of a partially anomalous pulmonary venous return to the inferior vena cava with other vascular and thoracic anomalies: inferior sinus venosus and secundum atrial septal defect, retroesophageal right subclavian artery, obstructed accessory right bronchus, diaphragmatic hernia with ectopic liver, "S"-type thoracic scoliosis and malformations of the urinary tract (duplication of the right ureter and of the left basinet)...
2018: Romanian Journal of Morphology and Embryology
https://read.qxmd.com/read/29642708/coronary-artery-development-origin-malformations-and-translational-vascular-reparative-therapy
#8
REVIEW
Daryl Ramai, Jonathan Lai, Constantine Monzidelis, Sarath Reddy
After thickening of the cardiac chamber walls during embryogenesis, oxygen and nutrients can no longer be adequately supplied to cardiac cells via passive diffusion; therefore, a primitive vascular network develops to supply these vital structures. This plexus further matures into coronary arteries and veins, which ensures continued development of the heart. Various models have been proposed to account for the growth of the coronary arteries. However, lineage-tracing studies in the last decade have identified 3 major sources, namely, the proepicardium, the sinus venosus, and endocardium...
July 2018: Journal of Cardiovascular Pharmacology and Therapeutics
https://read.qxmd.com/read/27602703/congenital-vascular-malformations-of-the-liver-an-association-with-trisomy-21
#9
JOURNAL ARTICLE
Oliver C Burdall, Tassos Grammatikopoulos, Maria Sellars, Nedim Hadzic, Mark Davenport
A link between congenital vascular malformation (CVM) of the liver and trisomy 21 has been suggested. We reviewed all children with trisomy 21 referred for investigation to a specialist pediatric hepatobiliary unit (1985-2015). Forty-five children with trisomy 21 were identified; 7 (15%) had a defined CVMs (4 girls). All such infants were also diagnosed with a range of cardiac defects. CVMs were divided according to the nature of the vascular connection. Group (i) (n = 3): Abnormal venovenous anomaly. This included portocaval shunt and patent ductus venosus (n = 2)...
December 2016: Journal of Pediatric Gastroenterology and Nutrition
https://read.qxmd.com/read/27294008/a-rare-complex-case-of-congenital-umbilical-arteriovenous-malformation-and-review-of-literature
#10
JOURNAL ARTICLE
Rebeca Gregorio-Hernández, Ester Sanz-López, Alejandra Aguado-Del Hoyo, Gema Manrique-Martín, Juan Carlos De-Agustín, Manuel Sánchez-Luna
Introduction Congenital umbilical arteriovenous malformations (AVMs) are extremely rare. We present the first case of congenital umbilical AVM with feeding arteries originating not only from abdominal but also from the mammary arteries. Case Report A 34-week gestational age newborn was transferred to our hospital with a supraumbilical murmur. Abdominal Doppler ultrasound (US) showed a large vascular AVM, with multiple feeding arteries and several venous drainage structures to the umbilical vein and also a persistent ductus venosus...
April 2016: American Journal of Perinatology Reports
https://read.qxmd.com/read/26939599/first-trimester-echocardiographic-features-and-perinatal-outcomes-in-fetuses-with-congenital-absence-of-the-aortic-valve
#11
JOURNAL ARTICLE
Rong Yu, Sheng-li Li, Guo-yang Luo, Hua-xuan Wen, Shu-yuan Ouyang, Cong-ying Chen, Ying Yuan
OBJECTIVES: The purpose of this study was to describe the echocardiographic features and perinatal outcomes of congenital absence of the aortic valve diagnosed by first-trimester echocardiography. METHODS: This retrospective study assessed the feasibility of first-trimester echocardiography in detecting absence of the aortic valve. All cases of absence of the aortic valve diagnosed by first-trimester fetal echocardiography from January 2010 to December 2014 were identified at a single referral center using an established perinatal database...
April 2016: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://read.qxmd.com/read/23717461/cardiorenal-syndrome-is-present-in-human-fetuses-with-severe-isolated-urinary-tract-malformations
#12
JOURNAL ARTICLE
Waltraut M Merz, Kirsten Kübler, Rolf Fimmers, Arne Willruth, Birgit Stoffel-Wagner, Ulrich Gembruch
OBJECTIVE: We analyzed the association between renal and cardiovascular parameters in fetuses with isolated severe urinary tract malformations. METHODS: 39 fetuses at a mean gestational age of 23.6 weeks with nephropathies or urinary tract malformations and markedly impaired or absent renal function were prospectively examined. Fetal echocardiography was performed, and thicknesses of the interventricular septum, and left and right ventricular wall were measured...
2013: PloS One
https://read.qxmd.com/read/23273700/transjugular-retrograde-cannulation-of-the-portal-vein-via-patent-ductus-venosus-alternative-access-for-endovascular-hepatic-interventions
#13
JOURNAL ARTICLE
Ossama Al Masalmeh, Raja Shaikh, Gulraiz Chaudry, Heung Bae Kim, Steven J Fishman, Ahmad I Alomari
The use of the patent ductus venosus via a transjugular approach to access the portal system for endovascular treatment of hepatic vascular anomalies in three infants is reported. Two patients had an arterioportal fistula, and one had a rapidly involuting congenital hemangioma. All patients underwent arteriography followed by embolization of the vascular anomalies without complications. This alternative route is technically simpler and likely safer than transarterial and transhepatic approaches.
January 2013: Journal of Vascular and Interventional Radiology: JVIR
https://read.qxmd.com/read/23006688/cancer-of-the-left-lung-with-persistent-left-superior-vena-cava
#14
JOURNAL ARTICLE
Mitsuteru Yoshida, Hiroyuki Hino, Hisanori Machida, Nobuo Hatakeyama, Yoshio Okano, Yoshihito Iwahara, Tsutomu Shinohara, Fumitaka Oogushi
As operations for lung cancer become more common, more anomalies of various pulmonary arteries and veins are being encountered. Persistent left superior vena cava (PLSVC) is caused by abnormal development of the sinus venosus in early fetal life. In cases of PLSVC with left lung cancer, particular care must be exercised during the excision of the pulmonary vein, focusing on the region into which the PLSVC flows. In such anomalous cases, proper excision of the pulmonary artery and vein and lymph node dissection require a firm grasp of anatomic detail using preoperative computed tomographic scanning...
October 2012: Annals of Thoracic Surgery
https://read.qxmd.com/read/21995175/prenatal-diagnosis-of-a-digynic-triploid-fetus-in-the-second-trimester-transvaginal-two-dimensional-ultrasound-color-doppler-and-fetoplacental-doppler-velocity-waveform-findings
#15
JOURNAL ARTICLE
A Y Basgul, Z N Kavak, H Isci, N Kutay, B Durukan
INTRODUCTION: Triploidy in the second trimester is a sporadic, rare lethal chromosomal abnormality characterized by an extra haploid chromosome set (3n = 69). Doppler blood flow study in fetal triploidy syndrome is rarely reported in the literature. CASE PRESENTATION: A 19-year-old woman at 18 weeks of gestation was referred to our fetal medicine unit. Examination revealed a digynic triploid fetus presenting with asymmetric intrauterine growth restriction, oligohydramnios, relative macrocephaly together with a small thin trunk, low-set ears, micrognathia, bilateral talipes, bilateral syndactyly on the third, fourth and fifth fingers and toes, a large ventricular septal defect, bradycardia, bilateral hyperechogenic kidneys and small placenta...
2011: Clinical and Experimental Obstetrics & Gynecology
https://read.qxmd.com/read/21043384/fetal-arterial-and-venous-doppler-in-growth-restricted-fetuses-for-the-prediction-of-perinatal-complications
#16
JOURNAL ARTICLE
Ozgür Ozyüncü, Burcu Saygan-Karamürsel, Didem Armangil, Lütfü S Onderoğlu, Sule Yiğit, Melih Velipaşaoğlu, Ozgür Deren
Fetal arterial and venous Doppler is a useful tool for the monitoring of growth restricted fetuses. Our aim in this study was to compare outcomes when fetuses were grouped according to the combinations of the Doppler results and also according to each vessel Doppler. Deliveries during the period 2002-2008 were reviewed retrospectively and cases with a birth weight less than the 10th percentile were selected for the study. Cases with congenital malformations or chromosomal abnormalities were excluded. Cases were then grouped according to umbilical artery (UA), middle cerebral artery (MCA) and ductus venosus (DV) Doppler results...
July 2010: Turkish Journal of Pediatrics
https://read.qxmd.com/read/21031348/added-value-of-three-four-dimensional-ultrasound-in-offline-analysis-and-diagnosis-of-congenital-heart-disease
#17
JOURNAL ARTICLE
S Yagel, S M Cohen, D Rosenak, B Messing, M Lipschuetz, O Shen, D V Valsky
OBJECTIVE: Many published studies have shown that application of three-dimensional (3D) and real-time 3D (4D) ultrasound modalities can improve certain aspects of fetal echocardiography, but have left open the question of whether these modalities improved the accuracy of prenatal detection of anatomical fetal cardiovascular malformations. We aimed to determine whether 3D/4D ultrasound improved diagnostic ability in cases of congenital heart disease (CHD). METHODS: Women who attended for early- or midtrimester targeted organ scans had complete fetal echocardiography according to our five-planes protocol, as well as examination of the ductus venosus and longitudinal aortic arch planes, performed with 2D ultrasound combined with 2D color Doppler, spatiotemporal image correlation (STIC), STIC with color Doppler, and STIC with B-flow...
April 2011: Ultrasound in Obstetrics & Gynecology
https://read.qxmd.com/read/20939222/-prevalence-and-complications-of-monochorionic-diamniotic-twin-pregnancy
#18
JOURNAL ARTICLE
Cutberto Torres-Torres, Guadalupe Pérez-Borbón, Jesús Andrés Benavides-Serralde, Mario E Guzmán-Huerta, Edgar Hernández-Andrade
BACKGROUND: Monochorionic biamniotic (MC/BA) twin pregnancies are at higher risk for twin-to-twin transfusion syndrome (TTTS), selective intrauterine growth restriction (sIUGR) and structural defects. MATERIAL AND METHOD: During an 18 months period all MC/BA twins referred to our unit for clinical surveillance were evaluated. Chorionicity was assessed based on the characteristics of the intertwin amniotic membrane. MC complicated cases were labeled either as, TTTS or sIUGR and classified according to severity...
March 2010: Ginecología y Obstetricia de México
https://read.qxmd.com/read/20552182/three-and-four-dimensional-ultrasound-in-the-diagnosis-of-fetal-tetralogy-of-fallot-with-absent-pulmonary-valve-and-microdeletion-22q11
#19
JOURNAL ARTICLE
David Hartge, Ulrike Hoffmann, Andreas Schröer, Jan Weichert
Tetralogy of Fallot (TOF) with concomitant absent pulmonary valve syndrome (APVS) constitutes a rare prenatal condition characterized by rudimentary cusps of the pulmonary valve, pulmonary regurgitation, and a variable degree of dilatation of the main and branch pulmonary arteries. Although early prenatal diagnosis of this complex malformation is feasible, the antenatal course of affected fetuses clearly depends on the presence of associated structural (absence of the ductus venosus) and chromosomal anomalies (microdeletion 22q11, DiGeorge syndrome)...
October 2010: Pediatric Cardiology
https://read.qxmd.com/read/20127749/ductus-venosus-blood-flow-velocity-waveform-in-diabetic-pregnancies
#20
MULTICENTER STUDY
A Stuart, I Amer-Wåhlin, S Gudmundsson, K Marsál, A Thuring, K Källen
OBJECTIVE: Maternal diabetes during pregnancy is associated with congenital cardiac malformations and hypertrophic cardiomyopathy. Blood flow in the ductus venosus (DV) has been postulated to reflect cardiac function. The aim of our study was to investigate if diabetic pregnancies exhibit abnormal DV hemodynamics, hence indicating changes in fetal cardiac function. METHODS: The pulsatility index of the DV (DV-PI) was analyzed retrospectively in 142 diabetic patients and compared to previously published DV-PI reference values from a non-diabetic low-risk population...
September 2010: Ultrasound in Obstetrics & Gynecology
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