Puvabanditsin Surasak, Garrow Eugene, Bhatt Mayoor, Kathiravan Suganya, Gowda Sharada, Wong Ronald, Nagar Michael
Department of Pediatrics, UMDNJ-Robert Wood Johnson Medical School, New Brunswick, New Jersey 08903, USA.
Fetal Pediatr Pathol. 2011;30(2):98-105. doi: 10.3109/15513815.2010.524687.
A case is described of a neonate with a four-vessel umbilical cord containing two arteries and two veins. This was due to a rare persistence of the caudal portion of the right umbilical vein. The infant had multiple congenital anomalies including a complete atrioventricular canal, an interrupted inferior vena cava, a double superior vena cava, a left ventricular hypoplasia, dextrocardia, situs ambiguous, and malrotation of the small bowel. The birth of an infant with a four-vessel cord mandates comprehensive work-up for associated anomalies. The literature is reviewed.
描述了一例患有四血管脐带（包含两条动脉和两条静脉）的新生儿病例。这是由于右脐静脉尾部罕见的持续存在所致。该婴儿有多种先天性异常，包括完全性房室通道、下腔静脉中断、双上腔静脉、左心室发育不全、右位心、内脏位置不明确以及小肠旋转不良。出生时脐带为四血管的婴儿需要对相关异常进行全面检查。对文献进行了综述。
