Systemic Venous Drainage Is Associated with an Unfavorable Prenatal Behavior in Fetal Bronchopulmonary Sequestration.

Objective: This study aimed to determine the significance of the venous drainage pattern of bronchopulmonary sequestration (BPS) in the prenatal course.Methods: The venous drainage pattern of fetuses with BPS was determined with high-definition flow and confirmed by postnatal three-dimensional compu...

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Publicado en:Fetal Diagnosis & Therapy Vol. 44; no. 4; pp. 291 - 299
Autores principales: Lin, Mei-Fang, Xie, Hong-Ning, Zhao, Xiu-Hua, Peng, Ruan, Zheng, Ju, Peng, Zhen-Peng
Formato: diagnostic images research tables/charts Journal Article
Publicado: Karger AG 2018
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2018
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      pub: Karger AG
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        atl: Systemic Venous Drainage Is Associated with an Unfavorable Prenatal Behavior in Fetal Bronchopulmonary Sequestration.
      aug:
        au:
          Lin, Mei-Fang
          Xie, Hong-Ning
          Zhao, Xiu-Hua
          Peng, Ruan
          Zheng, Ju
          Peng, Zhen-Peng
        affil: Department of Ultrasonic Medicine and Fetal Medical Center, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China
      sug:
        subj:
          Respiratory System Abnormalities
          Female
          Ultrasonography, Prenatal
          Respiratory System Abnormalities Pathology
          Lung
          Polyhydramnios
          Prognosis
          Pregnancy
          Female
      ab: Objective: This study aimed to determine the significance of the venous drainage pattern of bronchopulmonary sequestration (BPS) in the prenatal course.Methods: The venous drainage pattern of fetuses with BPS was determined with high-definition flow and confirmed by postnatal three-dimensional computed tomography angiography scan or autopsy. The volume of BPS lesions during gestation was recorded by the three-dimensional ultrasonographic Virtual Organ Computer-Aided Analysis software. The relationship between venous drainage pattern and prenatal characteristics was determined.Results: Seventy-one fetuses were enrolled: 35 with systemic venous drainage (SVD) and 36 with pulmonary venous drainage (PVD). The volumes of BPS lesions significantly increased from the middle second trimester to the later second trimester in the SVD group. A marked decrease from the later second trimester to the third trimester was observed in the PVD group. The incidences of associated anomalies, hydrops, and polyhydramnios in the SVD group were 14.2, 23.3, and 33.3%, respectively, significantly higher than those in the PVD group (0, 0, and 5.6%, respectively).Conclusions: Our data indicate that SVD is correlated with a higher risk of associated anomalies and an unfavorable prenatal course in fetal BPS. Identification of the venous drainage pattern is of clinical significance in predicting the prenatal behavior of fetal BPS.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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