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Echocardiographic measurements of normal fetal pulmonary artery and pulmonary branches and comparison on fetuses with congenital diaphragmatic hernia.
MedLine Citation:
PMID:  21218757     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
OBJECTIVE: Congenital diaphragmatic hernia is one of the severe congenital pulmonary anomaly (PA) associated with pulmonary hypoplasia, pulmonary sequestration and severe respiratory distress. The aim of this study was to present difference between measurements of the size of fetal pulmonary artery and pulmonary branches (PB) in normal growth fetuses and comparison with the same in fetuses with congenital diaphragmatic hernia (CHD). Measurements were done by echocardiography.
METHODOLOGY: During the period March 2007 to March 2009 measurements were performed on a total of 115 normal fetuses, at 20-38 weeks gestation. By cross-sectional echocardiography were measured fetal PA and PB diameters. Retrospectively were reviewed 6 fetuses with left-sided CHD from 2005 to 2009. Measurements were done at level of the three vessel view (superior vena cava, ascending aorta and main PA).
RESULTS: Diameter of main PA and both branches were found to correlate with the advanced gestational age (r = 0.74, p < 0.01). There was calculated diameter of the left PB to main pulmonary artery ratio (LPB/MPA) and right PB to main pulmonary artery (RPB/MPA) ratio. These two parameters were almost constant throughout gestation. In all fetuses with CDH, LPB was normal or smaller than in normal fetuses. Both PB in compare with PMA were within the normal range in all normal fetuses.
CONCLUSION: Echocardiographic measurement of PB is an important method to establish the normal range of diameters of the PA branches and it appears to be useful to compare results on normal fetuses and fetuses with CDH and pulmonary hypoplasia.
Authors:
Ramush A Bejiqi; Ragip Retkoceri; Hana Bejiqi
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Medicinski arhiv     Volume:  64     ISSN:  0350-199X     ISO Abbreviation:  Med Arh     Publication Date:  2010  
Date Detail:
Created Date:  2011-01-11     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0400722     Medline TA:  Med Arh     Country:  Bosnia and Hercegovina    
Other Details:
Languages:  eng     Pagination:  365-7     Citation Subset:  IM    
Affiliation:
Intensive Care Unit, Pediatric Clinic, University Clinical Centre of Kosova, Prishtina, Kosova. rbejiqi@hotmail.com
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