Fetal pulmonary venous flow pattern is determined by left atrial pressure: report of two cases of left heart hypoplasia, one with patent and the other with closed interatrial communication

被引:14
作者
Lenz, F [1 ]
Machlitt, A [1 ]
Hartung, J [1 ]
Bollmann, R [1 ]
Chaoui, R [1 ]
机构
[1] Humboldt Univ, Charite Hosp, Dept Obstet & Gynecol, Unit Prenatal Diag & Therapy, D-10098 Berlin, Germany
关键词
atrial septal defect; fetal Doppler; fetal echocardiography; fetal pulmonary veins; hypoplastic left heart syndrome; closed foramen ovale;
D O I
10.1046/j.1469-0705.2002.00684.x
中图分类号
O42 [声学];
学科分类号
070206 ; 082403 ;
摘要
We report two cases of fetal left heart hypoplasia with extremes of si e of interatrial communication, i.e. a closed foramen ovale and an atrial septal defect. Doppler examinations of the pulmonary veins showed almost to and fro flow in the fetus with the closed foramen ovale and, in contrast, a normal flow velocity waveform in the fetus with the atrial septal defect, despite mitral atresia. Our observations support the importance of left atrial pressure in the creation of a pulmonary venous flow pattern in the fetus.
引用
收藏
页码:392 / 395
页数:4
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