Reversed end-diastolic umbilical flow in a first-trimester fetus with congenital heart disease.

Abstract:

:Reversed end-diastolic umbilical artery velocities and a reduced chorionic sac were first seen at 10 weeks in a pregnancy subsequently showing a normal male karyotype on chorionic villi. Four weeks later Doppler studies demonstrated normal umbilical artery waveforms. At 20 weeks, ultrasound examination of the fetus revealed a mild pericardic effusion, hypoplastic righ heart with hypertrophic myocardium and a single umbilical artery, suggesting pulmonary atresia. After neonatal death, pathological studies confirmed pulmonary atresia. This case suggests that reversed end-diastolic umbilical flow in the first trimester may identify a subgroup of fetuses with a lethal abnormality (heart defect, severe intra-uterine retardation, aneuploidy or others).

journal_name

Prenat Diagn

journal_title

Prenatal diagnosis

authors

Borrell A,Costa D,Martinez JM,Farré MT,Palacio M,Mortera C,Fortuny A

doi

10.1002/(sici)1097-0223(1998100)18:10<1001::aid-pd

subject

Has Abstract

pub_date

1998-10-01 00:00:00

pages

1001-5

issue

10

eissn

0197-3851

issn

1097-0223

pii

10.1002/(SICI)1097-0223(1998100)18:10<1001::AID-PD

journal_volume

18

pub_type

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