Document Detail


Normal pericardial fluid in the fetus: color and spectral Doppler analysis.
MedLine Citation:
PMID:  11555455     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: To estimate the incidence of sonographic identification of pericardial fluid in normal fetuses and to evaluate the flow pattern of pericardial fluid by using color and spectral Doppler techniques. METHODS: We evaluated 27 normal fetuses for the presence of pericardial fluid by using gray-scale two-dimensional and M-mode ultrasound, and color and spectral Doppler techniques. RESULTS: Pericardial fluid was detected in 52% of cases by two-dimensional and M-mode ultrasound and in 81% of cases by color Doppler. The pericardial fluid moved towards the ventricles during systole and towards the atria during diastole. In 9 of 22 fetuses with pericardial fluid identified by color Doppler, spectral waveforms were obtained. The waveforms confirmed the bidirectional flow pattern identified at color Doppler. In six cases there was monophasic systolic and biphasic diastolic flow. In the remaining three cases, the flow was monophasic during both systole and diastole. CONCLUSIONS: Pericardial fluid can be identified with color Doppler in the majority of normal fetuses. It characteristically shows bidirectional flow as it moves with ventricular systole and diastole. Spectral waveforms can be obtained from the pericardial fluid. The presence of pericardial fluid per se should not be considered as abnormal. Color-coded pericardial fluid should not be mistaken for coronary artery blood flow.
Authors:
S J Yoo; J Y Min; Y H Lee
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology     Volume:  18     ISSN:  0960-7692     ISO Abbreviation:  Ultrasound Obstet Gynecol     Publication Date:  2001 Sep 
Date Detail:
Created Date:  2001-09-13     Completed Date:  2001-10-25     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9108340     Medline TA:  Ultrasound Obstet Gynecol     Country:  England    
Other Details:
Languages:  eng     Pagination:  248-52     Citation Subset:  IM    
Affiliation:
Department of Diagnostic Imaging, Hospital for Sick Children, University of Toronto, Canada. shi-joon.yoo@sickkids.on.ca
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MeSH Terms
Descriptor/Qualifier:
Body Fluids / ultrasonography*
Echocardiography, Doppler, Color*
Female
Fetal Heart / ultrasonography*
Humans
Pericardial Effusion / ultrasonography
Pericardium / ultrasonography*
Pregnancy
Reference Values
Ultrasonography, Prenatal*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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