Aortic Isthmus and Cardiac Monitoring of the Growth-Restricted Fetus

作者：Acharya Ganesh; Tronnes Ashlie; Rasanen Juha^*

来源：Clinics in Perinatology, 2011, 38(1): 113-+.

DOI：10.1016/j.clp.2010.12.006

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

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.

• 出版日期2011-3