Aortic Isthmus and Cardiac Monitoring of the Growth-Restricted Fetus

Ganesh Acharya, Ashlie Tronnes, Juha Rasanen

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Aortic isthmus acts as an arterial watershed between the cerebral and placental circulations, connecting 2 parallel fetal ventricular pumps. It plays a crucial role in the fetal circulatory dynamics. Information about aortic isthmus blood flow may improve the management of sick fetuses. However, perceived technical difficulties limit the clinical use of aortic isthmus Doppler for fetal hemodynamic monitoring. Changes in aortic isthmus blood flow pattern seem to reflect fetal cardiovascular status accurately and predict perinatal and long-term neurodevelopmental outcome in intrauterine growth restriction. This review evaluates the available scientific information and discusses the role of aortic isthmus in fetal circulation.

Original languageEnglish (US)
Pages (from-to)113-125
Number of pages13
JournalClinics in Perinatology
Volume38
Issue number1
DOIs
StatePublished - Mar 2011

Fingerprint

Cerebrovascular Circulation
Fetus
Placental Circulation
Fetal Monitoring
Growth
Hemodynamics

Keywords

  • Aortic isthmus doppler
  • Fetal circulation
  • Fetal echocardiography
  • Fetal heart

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

Cite this

Aortic Isthmus and Cardiac Monitoring of the Growth-Restricted Fetus. / Acharya, Ganesh; Tronnes, Ashlie; Rasanen, Juha.

In: Clinics in Perinatology, Vol. 38, No. 1, 03.2011, p. 113-125.

Research output: Contribution to journalArticle

Acharya, Ganesh ; Tronnes, Ashlie ; Rasanen, Juha. / Aortic Isthmus and Cardiac Monitoring of the Growth-Restricted Fetus. In: Clinics in Perinatology. 2011 ; Vol. 38, No. 1. pp. 113-125.
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