scholarly journals P09.09: Agenesis of the ductus venosus associated with abnormal umbilical vein connection: fetal echocardiography characteristic and prenatal diagnosis value

2015 ◽  
Vol 46 ◽  
pp. 153-153
Author(s):  
Y. Zhang ◽  
X. Gu ◽  
L. Sun ◽  
X. Liu ◽  
J. Han ◽  
...  
2007 ◽  
Vol 23 (2) ◽  
pp. 136-139 ◽  
Author(s):  
J. Hajdú ◽  
T. Marton ◽  
M. Kozsurek ◽  
B. Pete ◽  
Z. Csapó ◽  
...  

2015 ◽  
Vol 4 (1) ◽  
Author(s):  
Elad Mei-Dan ◽  
Phyllis Glanc ◽  
Dini Hui ◽  
Jon F. Barrett

AbstractAn umbilical arteriovenous (AV) fistula is an extremely rare anomaly of the umbilical cord, with only one case being documented in the literature. The purpose of this report is to describe the prenatal sonographic characteristics of such a lesion and its potential complications. We report a case of an umbilical cord AV fistula detected at 24 weeks of gestation in one fetus of dichorionic-diamniotic twins. Color flow and spectral Doppler examinations showed a jet originating from one of the umbilical arteries entering the dilated umbilical vein. Serial ultrasounds revealed relative oligohydramnios and deep A waves in the ductus venosus for the affected twin. Upon performing fetal echocardiography assessment, mild cardiomegaly and dilatation of the inferior vena cava were detected. Chromosomal testing revealed a normal karyotype. The patient continued to be followed for close monitoring of fetal well-being and corticosteroids were administered. Cesarean section was planned for 28–30 weeks, but surprisingly, the oligohydramnios resolved, Doppler studies normalized, and no further intra-uterine growth restriction or fetal compromise was observed. Due to the recurrence of abnormal Doppler studies at 36 weeks of gestation, the patient was admitted for an induction of labor followed by a vaginal delivery of two healthy infants. Given the scarcity of reports regarding umbilical cord AV fistula, it is important to perform an extensive investigation of the affected fetus including karyotype and echocardiography. Furthermore, delivery timing should rely on close surveillance of fetal well-being to avoid the risk of fetal demise.


2009 ◽  
Vol 12 (3) ◽  
pp. 239-243 ◽  
Author(s):  
Makoto Takeuchi ◽  
Masahiro Nakayama ◽  
Arihiro Tamura ◽  
Hiroyuki Kitajima

We describe the clinical course and autopsy findings of a male infant with hydrops fetalis due to agenesis of the ductus venosus. Fetal echocardiography at 27 weeks in gestation demonstrated hydrops fetalis due to unknown causes. The baby was born at 28 weeks in gestation by emergency caesarean section because of preeclampsia and progressive hydrop fetalis but died immediately at birth. The umbilical vein catheter ran an unusual course: left renal vein and inferior vena cava were opacified after postmortem injection of radiopaque dye into the umbilical vein. The autopsy demonstrated agenesis of the ductus venosus without extrahepatic umbilical venous drainage. The type without extrahepatic venous drainage is rare but shows a favorable outcome in general. However, our findings illustrate that in addition to sinusoidal dilatation, some cases may induce significant medial hypertrophy of portal veins, leading to hydrops fetalis and neonatal demise.


2012 ◽  
Vol 40 (9) ◽  
pp. 590-593 ◽  
Author(s):  
Aytul Corbacioglu ◽  
Halil Aslan ◽  
Hediye Dagdeviren ◽  
Yavuz Ceylan

2002 ◽  
Vol 2 (4) ◽  
pp. 251-260
Author(s):  
J. M. Martínez ◽  
O. Gómez ◽  
M. del Río ◽  
B. Puerto ◽  
A. Borrell ◽  
...  

Author(s):  
Arun S. Kinare ◽  
Shrikant T. Ambardekar ◽  
Debasis Bhattacharya ◽  
Satish A. Pande

2014 ◽  
Vol 44 (S1) ◽  
pp. 141-142
Author(s):  
A. Zamprakou ◽  
A. Geipel ◽  
U. Gembruch ◽  
B.S. Strizek ◽  
I. Gottschalk ◽  
...  

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Kenji Horie ◽  
Hironori Takahashi ◽  
Daisuke Matsubara ◽  
Koichi Kataoka ◽  
Rieko Furukawa ◽  
...  

Absent ductus venosus (ADV) is a rare vascular anomaly. We describe a fetus/neonate with ADV with a partial liver defect. A 41-year-old woman was referred to our institute because of fetal cardiomegaly detected by routine prenatal ultrasound, which revealed absence of ductus venosus with an umbilical vein directly draining into the right atrium, consistent with extrahepatic drainage type of ADV. She vaginally gave birth to a 3,096-gram male infant at 38 weeks of gestation. Detailed ultrasound examination revealed a defect of the hepatic rectangular leaf at half a month postnatally. He showed normal development at 1.5 years of age with the liver abnormality and a Morgagni hernia. Liver morphological abnormality should also be considered as a complication of ADV.


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