Postnatal Amelioration of Fetal Right Ventricular Hypoplasia Associated with Large Eustachian Valve: A Case Report
| Autor: | Hirotaka Ishido, Yoichi Iwamoto, Akio Ishiguro, Masayo Kanai, Ayaka Iwatani, Fumihito Miyake, Satoshi Masutani, Kazuhiko Kabe |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Case Report 030204 cardiovascular system & hematology right ventricle lcsh:Gynecology and obstetrics Inferior vena cava 03 medical and health sciences 0302 clinical medicine foramen ovale Internal medicine medicine otorhinolaryngologic diseases 030212 general & internal medicine cardiovascular diseases Respiratory system lcsh:RG1-991 hypoplasia Fetus Tricuspid valve business.industry Eustachian valve Obstetrics and Gynecology medicine.disease tricuspid fetal Hypoplasia Eustachian Valve Shunt (medical) medicine.anatomical_structure medicine.vein Pediatrics Perinatology and Child Health Cardiology Vascular resistance cardiovascular system business |
| Zdroj: | AJP Reports American Journal of Perinatology Reports, Vol 09, Iss 04, Pp e357-e360 (2019) |
| ISSN: | 2157-7005 2157-6998 |
| Popis: | In fetuses, the Eustachian valve directs oxygenated blood returning from the inferior vena cava into the left atrium via the foramen ovale. If too large, the Eustachian valve can restrict right ventricular inflow, as well as induce postnatal cyanosis via an interatrial right-to-left shunt. We report a fetal case of postnatal amelioration of the tricuspid valve and right ventricle hypoplasia, despite significant right ventricular hypoplasia associated with a large Eustachian valve. Application of an appropriate respiratory management regimen to help reduce pulmonary vascular resistance is of particular importance for the reversal of the right-to-left shunt via the foramen ovale and associated increases in right ventricular inflow. |
| Databáze: | OpenAIRE |
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