Estudo da constriçäo intra-uterina do canal arterial: análise de uma coorte histórica de 20 casos / Intrauterine ductus arteriosus constriction: analysis of a historic cohort of 20 cases
Arq. bras. cardiol
;
81(4): 399-410, out. 2003. ilus, tab
Artigo
em Português, Inglês
| LILACS
| ID: lil-349339
ABSTRACT
OBJECTIVE:
To describe the relative incidence, presentation, and evolvement of fetuses with early ductus constriction.METHODS:
Twenty fetal echocardiograms indicating ductus constriction were reviewed in a population of 7000 pregnants.RESULTS:
The cases were divided into group A (related to maternal use of cyclooxygenase inhibitors [n=7] and group B (idiopathics [n=13]). Mean gestational age was 32.5±3.1 (27-38) weeks and maternal age was 28.2±8.5 (17-42) years. Mean systolic velocity in the ductus was 2.22±0.34 (1.66-2.81) m/s, diastolic velocity 0.79±0.28 (0.45-1.5) m/s, and pulsatility index 1.33±0.36 (0.52-1.83). Two cases of ductal occlusion were noted. In 65 percent of the cases, an increase occurred in the right cavities; in 90 percent of the cases, tricuspid or pulmonary regurgitation, or both, occurred, with functional pulmonary atresia in 1 case. Diastolic velocity was greater in group A (1.13±0.33) than in group B (0.68±0.15) (P=0.008). The other data were similar in the 2 groups. The evolvement was not favorable in 4 patients from group B, including 1 death and 2 cases of persistent pulmonary hypertension.CONCLUSION:
The high incidence of idiopathic constriction of the ductus arteriosus suggests that its diagnosis is underestimated and that many cases of persistence of fetal circulation in newborns may be related to constriction of the ductus arteriosus not diagnosed during intrauterine life. Group B had a lower severity but a risk of an unfavorable evolvement, suggesting a distinct alteration
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Constrição Patológica
/
Canal Arterial
Tipo de estudo:
Estudo de etiologia
/
Estudo de incidência
/
Estudo observacional
/
Estudo prognóstico
/
Fatores de risco
Limite:
Feminino
/
Humanos
/
Gravidez
Idioma:
Inglês
/
Português
Revista:
Arq. bras. cardiol
Assunto da revista:
Cardiologia
Ano de publicação:
2003
Tipo de documento:
Artigo
País de afiliação:
Brasil
Instituição/País de afiliação:
Instituto de Cardiologia do Rio Grande do Sul/BR
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