Jouannic J M, Jacquemard F, Mirlesse V, Capella-Pavlovsky M, Fermont L, Brunelle F, Daffos F
Service de Gynécologie-Obstétrique, CHRU-Hôpital Sud, Rennes.
J Gynecol Obstet Biol Reprod (Paris). 1998 Jan;27(1):90-4.
A case of arteriovenous fistula of the liver diagnosed at 30 weeks of gestation is reported. The etiologies of an hypoechogenic structure in the fetal liver are discussed showing the contribution of pulsed wave Doppler and color Doppler to the diagnosis. The clinical evolution towards heart failure led us to examine the pathophysiology of such a lesion. The prenatal management of this arteriovenous malformation is exposed.
本文报道了一例在妊娠30周时诊断出的肝动静脉瘘病例。讨论了胎儿肝脏低回声结构的病因,展示了脉冲波多普勒和彩色多普勒在诊断中的作用。向心力衰竭的临床进展促使我们研究这种病变的病理生理学。阐述了这种动静脉畸形的产前管理。