Cayol V, Braig S, Noto S, Jannet D, Bouillie J, Marpeau L, Milliez J
Service de Gynécologie-Obstétrique, Hôpital Saint-Antoine, Paris.
J Gynecol Obstet Biol Reprod (Paris). 1997;26(4):430-4.
Looking for the etiology of hydramnios which became symptomatic at 21 weeks' gestation ultrasonography revealed a hepatic vascular abnormality without other symptoms. The suspected diagnosis was agenesis of the ductus venosus with creation of a high grade arteriovenous shunt between the umbilical vein and the inferior vena cava. Agenesis of the ductus venosus may be one expression of the different possible systemic-portal-umbilical abnormalities. Physiological consequences vary according to the type of substitutive anastomoses.
孕21周超声检查发现羊水过多且伴有肝脏血管异常,但无其他症状,遂寻找羊水过多的病因。疑似诊断为静脉导管缺如,导致脐静脉与下腔静脉之间形成高度动静脉分流。静脉导管缺如可能是全身 - 门静脉 - 脐静脉不同可能异常的一种表现形式。生理后果因替代吻合的类型而异。