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Recognition of a Fetal Subdiaphragmatic Venous Vestibulum Essential for Fetal Venous Doppler Assessment

 

作者: TJEERD,   HUISMAN ADRIANA,   GITTENBERGER-DE GROOT JURIY,  

 

期刊: Pediatric Research  (OVID Available online 1992)
卷期: Volume 32, issue 3  

页码: 338-341

 

ISSN:0031-3998

 

年代: 1992

 

出版商: OVID

 

数据来源: OVID

 

摘要:

Ultrasonic visualization of the human fetal subdiaphragmatic area demonstrated anatomical relationships, different from descriptions in the literature. Four human fetal postmortem specimens at 18, 26, 28, and 34 wk of gestation were examined to ascertain morphologic details of intra- and perihepatic vasculature. Drawings of these dissected preparations were compared with ultrasonic images from the same region. With both methods the presence of a venous vestibulum immediately proximate to the diaphragm could be demonstrated. The abdominal inferior vena cava ends in a funnel-like structure, which also contains the orifices of the hepatic veins, the ductus venosus, and a phrenic vein. A considerable variability in Doppler flow recordings could result from blood propelling out of these various vessels into the vestibulum. It is, therefore, suggested that information on blood-flow velocities in venous hepatic vessels should be obtained more distally in the separate vessels and not at the entrance into the right atrium. (Pediatr Res 32: 338–341, 1992)

 

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