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    Harmony behind the trumped-shaped vessel: The essential role of the ductus venosus in fetal medicine

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    Author
    Turan, Ş.
    Turan, Ö.M.
    Date
    2018
    Journal
    Balkan Medical Journal
    Publisher
    Galenos Publishing House
    Type
    Review
    
    Metadata
    Show full item record
    See at
    https://dx.doi.org/10.4274/balkanmedj.2017.1389
    Abstract
    The ductus venosus is a fetal vessel that functions importantly in the transfer of oxygen-and nutrient-rich blood from the umbilical vein to vital organs. Its control under active regulation and its anatomy result in a flow-velocity profile that is typically forward throughout the cardiac cycle. This forward cardiac function reflects afterload, cardiac contractility, compliance, and vascular volume changes. Ductus venosus assessment gives valuable information under different fetal conditions. For example, during first trimester screening, an abnormal ductus venosus measurement changes the screening result. Assessment of ductus venosus in twin-to-twin transfusion syndrome is an essential element of staging. In fetal growth restriction, an abnormal waveform mandates imminent delivery. In this review, we will discuss the role of ductus venosus assessment and its role in antenatal management and outcome prediction in certain fetal conditions throughout pregnancy. Copyright 2018 by Trakya University Faculty of Medicine / The Balkan Medical Journal published by Galenos Publishing House.
    Keyword
    Doppler
    Ductus venous
    Fetal growth restriction
    First trimester
    Hydrops
    Velocity ratios
    Identifier to cite or link to this item
    https://www.scopus.com/inward/record.uri?eid=2-s2.0-85046818822&doi=10.4274%2fbalkanmedj.2017.1389&partnerID=40&md5=36a55ea1231f3f55b1b4828735a032de; http://hdl.handle.net/10713/8819
    ae974a485f413a2113503eed53cd6c53
    10.4274/balkanmedj.2017.1389
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