Aortic Isthmus and Cardiac Monitoring of the Growth-Restricted Fetus

Ganesh Acharya; Ashlie Tronnes; Juha Rasanen

doi:10.1016/j.clp.2010.12.006

Aortic Isthmus and Cardiac Monitoring of the Growth-Restricted Fetus

Ganesh Acharya, Ashlie Tronnes, Juha Rasanen

Obstetrics and Gynecology

Research output: Contribution to journal › Review article › peer-review

20 Scopus citations

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 language	English (US)
Pages (from-to)	113-125
Number of pages	13
Journal	Clinics in Perinatology
Volume	38
Issue number	1
DOIs	https://doi.org/10.1016/j.clp.2010.12.006
State	Published - Mar 2011

Keywords

Aortic isthmus doppler
Fetal circulation
Fetal echocardiography
Fetal heart

ASJC Scopus subject areas

Pediatrics, Perinatology, and Child Health
Obstetrics and Gynecology

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10.1016/j.clp.2010.12.006

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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.",

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AB - 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.

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Aortic Isthmus and Cardiac Monitoring of the Growth-Restricted Fetus

Abstract

Keywords

ASJC Scopus subject areas

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