scholarly journals Absent Ductus Venosus Associated with Partial Liver Defect

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Kenji Horie ◽  
Hironori Takahashi ◽  
Daisuke Matsubara ◽  
Koichi Kataoka ◽  
Rieko Furukawa ◽  
...  
Keyword(s):  
Normal Development ◽  
Ultrasound Examination ◽  
Umbilical Vein ◽  
Vascular Anomaly ◽  
Male Infant ◽  
Ductus Venosus ◽  
Morphological Abnormality ◽  
Morgagni Hernia ◽  
The Right ◽  
Absent Ductus Venosus

Absent ductus venosus (ADV) is a rare vascular anomaly. We describe a fetus/neonate with ADV with a partial liver defect. A 41-year-old woman was referred to our institute because of fetal cardiomegaly detected by routine prenatal ultrasound, which revealed absence of ductus venosus with an umbilical vein directly draining into the right atrium, consistent with extrahepatic drainage type of ADV. She vaginally gave birth to a 3,096-gram male infant at 38 weeks of gestation. Detailed ultrasound examination revealed a defect of the hepatic rectangular leaf at half a month postnatally. He showed normal development at 1.5 years of age with the liver abnormality and a Morgagni hernia. Liver morphological abnormality should also be considered as a complication of ADV.

scholarly journals Prenatal and Postnatal Sonographic Confirmation of Congenital Absence of the Ductus Venosus in a Child with Noonan Syndrome

2017 ◽  
Vol 2017 ◽  
pp. 1-3 ◽  
Author(s):  
Christopher L. Newman ◽  
Matthew R. Wanner ◽  
Brandon P. Brown
Keyword(s):  
Noonan Syndrome ◽  
Umbilical Vein ◽  
Venous Drainage ◽  
Iliac Vein ◽  
Ductus Venosus ◽  
Vascular Connection ◽  
Umbilical Catheter ◽  
Prenatal Imaging ◽  
Parallel Configuration ◽  
Absent Ductus Venosus

The ductus venosus serves as an important vascular pathway for intrauterine circulation. This case presents a description of an absent ductus venosus in a female patient with Noonan syndrome, including both prenatal and postnatal imaging of the anomaly. In the setting of the anomalous vascular connection, the umbilical vein courses inferiorly to the iliac vein in parallel configuration with the umbilical artery. This finding was suspected based on prenatal imaging and the case was brought to attention when placement of an umbilical catheter was thought to be malpositioned given its appearance on radiography. Ultrasound imaging confirmed the anomalous course. This is in keeping with prior descriptions in the literature of an association between Noonan syndrome and aberrant umbilical venous drainage. This case illustrates the need for awareness of this condition by the radiologist, allowing for identification on radiographs and the recommendation for further confirmatory imaging. Further, the case illustrates the value of paying particular attention to the fetal course of the umbilical vessels in patients with suspected Noonan syndrome, as this population is particularly at risk for anomalous vasculature.

scholarly journals Venous Doppler in the Evaluation of Fetal Hydrops

2010 ◽  
Vol 2010 ◽  
pp. 1-7 ◽  
Author(s):  
C. Hofstaetter ◽  
S. Gudmundsson
Keyword(s):  
Doppler Sonography ◽  
Umbilical Vein ◽  
Venous Blood ◽  
Blood Velocity ◽  
Ductus Venosus ◽  
Venous Blood Flow ◽  
Fetal Hydrops ◽  
Routine Work ◽  
The Right ◽  
Work Up

Objective. To examine venous blood flow velocity in different types of fetal hydrops and its value in the prediction of outcome of pregnancies.Methods. Venous Doppler sonography was performed in 100 hydropic fetuses from 15 to 37 weeks of gestation. Blood velocity was recorded in the right hepatic vein (HV), the ductus venosus (DV) and in the intra-abdominal part of the umbilical vein (UV). Blood velocity indices were calculated and pulsations in the umbilical vein noted and grouped into a single, double or triple flow pattern. Blood velocity was related to cause of hydrops.Results. Mortality was noted in 51 cases of which 19 were by termination of pregnancy. Mortality in the 30 with normal venous blood velocity was 35%, but 58% in cases of abnormal Doppler. Abnormal HV and DV blood velocities were recorded in 39 and 34 cases, respectively and were strongly related to mortality ( and , resp.). UV pulsations were noted in 49 fetuses and were significantly related to mortality (). Mortality and abnormal venous velocities were most frequent in the low-output hydrops group (79% and 75%, resp.).Conclusions. Abnormal venous blood velocity is related to mortality in pregnancies complicated by fetal hydrops. Venous Doppler sonography should be a part of the routine work-up of pregnancies complicated by fetal hydrops.

scholarly journals Hepatic manifestations of familial patent ductus venosus in adults

Gut ◽  
1999 ◽  
Vol 45 (3) ◽  
pp. 442-445 ◽  
Author(s):  
S Jacob ◽  
G Farr ◽  
D De Vun ◽  
H Takiff ◽  
A Mason
Keyword(s):  
Umbilical Vein ◽  
Vena Cava ◽  
Vascular Anomaly ◽  
Fatty Degeneration ◽  
Ductus Venosus ◽  
Fetal Life ◽  
Genetic Trait ◽  
Patent Ductus Venosus ◽  
Collateral Vein ◽  
Patent Ductus

BACKGROUNDThe ductus venosus connects the umbilical vein to the inferior vena cava during fetal life and subsequently closes rapidly after birth. It is known as patent ductus venosus when it remains patent in adulthood.PATIENTSA 43 year old man with a history of panhypopituitarism presented with recurrent bouts of pedal oedema associated with fatigue, hypoalbuminaemia, and elevated prothrombin time. An ultrasound examination of his abdomen with Doppler revealed notable attenuation of the main portal vein with diminished intrahepatic branches; a computed tomography scan with angiography revealed a large collateral vein within the liver consistent with a patent ductus venosus. Sequential liver biopsies showed a considerable reduction in the calibre and number of the portal veins. His younger brother, who was diagnosed with alcohol related cirrhosis, suffered from intermittent bouts of encephalopathy and was found to have the same vascular lesion. A third brother was found to have a patent ductus venosus as well as two large hepatic masses consistent with focal nodular hyperplasia.CONCLUSIONThe syndrome of familial patent ductus venosus has only previously been described in three infant brothers who presented with hepatic encephalopathy and fatty degeneration of the liver. This report documents three brothers with a patent ductus venosus presenting in adulthood with different manifestations of liver disease. The presence of the same vascular anomaly in three brothers is highly suggestive of a recessive genetic trait with an anatomical manifestation of patent ductus venosus.

Prenatal Diagnosis of Abnormal Course of Umbilical Vein and Absent Ductus Venosus – Report of Three Cases

2007 ◽  
Vol 23 (2) ◽  
pp. 136-139 ◽  
Author(s):  
J. Hajdú ◽  
T. Marton ◽  
M. Kozsurek ◽  
B. Pete ◽  
Z. Csapó ◽  
...  
Keyword(s):  
Prenatal Diagnosis ◽  
Umbilical Vein ◽  
Ductus Venosus ◽  
Absent Ductus Venosus

Diaphragmatic Hernia Associated With Absent Ductus Venosus and Anomalous Connection of an Obliterated Umbilical Vein to the Coronary Sinus

2017 ◽  
Vol 11 (4) ◽  
pp. NP80-NP82 ◽  
Author(s):  
Peter C. Chen ◽  
Julia C. Swanson ◽  
Prakash Masand ◽  
Jose R. Rodriguez ◽  
Carlos M. Mery
Keyword(s):  
Patent Ductus Arteriosus ◽  
Diaphragmatic Hernia ◽  
Coronary Sinus ◽  
Septal Defect ◽  
Umbilical Vein ◽  
Ductus Arteriosus ◽  
Ductus Venosus ◽  
Secundum Atrial Septal Defect ◽  
Absent Ductus Venosus ◽  
Patent Ductus

Umbilical vein anomalies are a rare congenital defect, which have been associated with absent ductus venosus, with few cases also involving a congenital diaphragmatic hernia. We describe a case of postnatal development of an anterior diaphragmatic hernia of Morgagni in a four-year-old patient diagnosed prenatally with mesocardia, absent ductus venosus with a large umbilical vein, a large secundum atrial septal defect, and patent ductus arteriosus.

Repair of Morgagni hernia and ventricular septal defect through sternotomy

2018 ◽  
Vol 26 (2) ◽  
pp. 158-160
Author(s):  
Hesham Alkady ◽  
Mohammad Fawzy Abbas ◽  
Mahmoud Zayed ◽  
Talha Elsayed
Keyword(s):  
Ventricular Septal Defect ◽  
Septal Defect ◽  
Median Sternotomy ◽  
Male Infant ◽  
Anterior Mediastinum ◽  
Diaphragmatic Defect ◽  
Morgagni Hernia ◽  
Hernia Sac ◽  
Perimembranous Ventricular Septal Defect ◽  
The Right

We report a case of Morgagni hernia occupying the anterior mediastinum and right hemithorax in a male infant with Down syndrome, who also had a perimembranous ventricular septal defect. Through a median sternotomy, the hernia sac was freed from the right pleura, and the pericardium was opened to reduce its contents (colon) into the abdomen. The diaphragmatic defect was closed with Prolene mesh and the hernia sac was used to reinforce the diaphragmatic defect. Finally, the pericardium was opened and the ventricular septal defect was closed with a polytetrafluoroethylene patch through a right atriotomy after instituting cardiopulmonary bypass.

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