Fetal Ductal Constriction Fetal ductal constriction – Use PI Tulzer G, Gudmundsson S, Sharkey AM, Wood DC, Cohen AW, Huhta JC: Doppler echocardiography.

Slides:

Advertisements

Similar presentations

CONGENITAL HEART DISEASE.

Advertisements

 may be efective in preventing SGA birth in women at high risk of preeclampsia although the effect size is small. (c)

Acyanotic Heart Disease PRECIOUS PEDERSEN INTRODUCTION Left to right shunting lesions, increased pulmonary blood flow The blood is shunted through.

Hypertension in Pregnancy

Complications of Pregnancy Author: Evelyn M. Hickson, RN, MSN, CNS, WCC.

CV Profile Scoring and Assessment

Anomalies of the PV and RV James C. Huhta, M.D. Perinatal Cardiology JHM-All Children’s Hospital 5th Phoenix Fetal Cardiology Symposium Wed. April 23,

Computational Intelligence

Congenital Heart Defects Left-to-Right Shunt Lesions by

Patent Ductus Ateriosis PDA Muhammad Syed MD Heart.

PATENT DUCTUS ARTERIOSUS By: Nicole Stevens. Patent Ductus Arteriosus is a functional connection between the pulmonary artery and the descending aorta.

A Quick Tour of Congenital Heart Disease

DR. HANA OMER CONGENITAL HEART DEFECTS. The major development of the fetal heart occurs between the fourth and seventh weeks of gestation, and most congenital.

Presented by: Dr. Farzad Afzali Kasra medical imaging center.

CONGENITAL HEART DİSEASES

Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Chapter 40 Nursing Care of the Child with a Cardiovascular Disorder.

MANAGEMENT HTN IN PREGNANCY. DEFINITIONS The definition of gestational hypertension is somewhat controversial. Some clinicians therefore recommend close.

CONGENITAL DISEASES Dr. Meg-angela Christi Amores.

Labor, Delivery, and Changes at Birth Fred Hill, MA, RRT.

INTRODUCTION The Normal Heart has four chambers. Consisting of the 2 basic circulation; The pulmonary circulation carrying the deoxygenated blood and.

Infective edocarditis. Definition  an infection of the endocardium or vascular endothelium  it may occur as fulminating or acute infection  more commonly.

Hypertension in Pregnancy Updates: ACOG Task Force 2013.

CARDIAC DISEASES IN PREGNANCY DR. RAZAQ MASHA,FRCOG Assistant Professor & Consultant Department of Obstetrics & Gynaecology.

By Nicole Stevens. Human fetal circulation works differently to extrauterine circulation, and there are 3 key differences:  The presence of a placenta.

Congenital heart disease

GEORGIA HOSPITAL ENGAGEMENT NETWORK (GHEN)

Neonatal Emergencies Dr Ruben Bromiker Department of Neonatology Shaare Zedek Medical Center.

Differential Diagnosis. Many classes of disorders can result in increased cardiac demand or impaired cardiac function. Cardiac causes include: - arrhythmias.

When Oxygen Goes Bad or How Not to Kill a Small Child with O2 Karim Rafaat, MD.

Congenital heart disease (CHD) By : - Dr. Sanjeev.

Congenital Heart Disease Dr. Raid Jastania. Congenital Heart Disease 8 per 1000 live birth Could be minor defect or major defect Cause – unknown –Genetic:

Congenital Heart Disease Most occur during weeks 3 to 8 Incidence 6 to 8 per 1,000 live born births Some genetic – Trisomies 13, 15, 18, & 21 and Turner.

Rafat Mosalli MD Abnormal Gestation. Objectives What is Normal gestation? What is Normal gestation? Newborn classification according to age and Weight.

… could their antioxidant and antiinflammatory components interfere with prostaglandin metabolism and thus influence fetal ductus arteriosus dynamics?

Persistent Pulmonary Hypertension of the Newborn (PPHN) Fred Hill, MA, RRT.

Congenital Cardiac Lesions. Overview Three Shunts of Fetal Circulation Ductus Arteriosus Ductus Arteriosus Protects lungs against circulatory overload.

Patent Ductus Arteriosus

Cardiovascular disease in pregnancy Cardiovascular disease in pregnancy Dr.Z Allameh MD.

Patent Ductus Arteriosis (PDA)

Ibuprofen and Renal Failure Professor Nicholas Moore International Ibuprofen Foundation University of Bordeaux, France.

THIRD TRIMESTER PROBLEMS Hypertension Small for dates Post-term pregnancy.

CONGENITAL HEART DEFECTS DR. HANA OMER. CONGENITAL HEART DEFECTS D. HANA OMER.

DR AFTAB YUNUS FRCSEd. CHAIRMAN CARDIAC SURGERY

SPM 200 Clinical Skills Lab 1

PERSISTANT DUCTUS ARTERIOSUS Lourdes Asiain M.D. October 2004.

Lecture II Congenital Heart Diseases Dr. Aya M. Serry 2015/2016.

Areas of Auscultation Chapter 5 Ara G. Tilkian, MD, FACC Instructor Patricia L. Thomas, MBA, RCIS.

Circulatory Physiology AnS 536 Spring Development of the Circulatory System 1st functional organ system – heart is functional when embryo is 2 mm.

Congenital Heart Disease. Aetiology and incidence The incidence 0.8% of live births. Maternal infection or exposure to drugs or toxins may cause congenital.

Chris Burke, MD. What is the Ductus Arteriosus? Ductus Arteriosus  Allows blood from RV to bypass fetal lungs  Between the main PA (or proximal left.

Congenital Heart Disease

Occlusion Device for Patent Ductus Arteriosus Christina Mathieson & Trung Nguyen Advisor: Dr. Tom Doyle BME 273 – Senior Design Project.

Date of download: 6/3/2016 Copyright © The American College of Cardiology. All rights reserved. From: Pregnancy in Patients With Pre-Existing Cardiomyopathies.

Patent Ductus Arteriosus in the Preterm Infant Dr Sam Thompson Tuesday Club 15/3/16.

Date of download: 9/19/2016 Copyright © The American College of Cardiology. All rights reserved. From: Prolongation of the Atrioventricular Conduction.

何積泓 Infertility The incidence of infertility is increasing The incidence of infertility is increasing 1.3~4.2% newborns in Europe result from.

Clinical features Abnormal vasculogenesis and angiogenesis and releasing of anti-angiogenic factors results in Vasospasm Endothelial dysfunction Etiology.

Pre-labor Rupture of Membranes (PROM)

INTRAUTERINE GROWTH RESTRICTION

Objectives 1-To discuss V.S.D.

James M. Roberts, M.D., Leslie Myatt, Ph.D.,et al.

CONGENITAL HEART DISEASES II

Evidence based management of preterm labour

UOG Journal Club: July 2012 Maternal hemodynamics at 11–13 weeks’ gestation and risk of pre-eclampsia A. Khalil, R. Akolekar, A. Syngelaki, M. Elkhouli.

Patent Ductus Arteriosus

Lithium Use During Pregnancy

Echocardiographic features of persistent pulmonary hypertension of the newborn (PPHN): high right ventricular pressure results in tricuspid regurgitation.

Rick A. Nishimura et al. JACC 2014;63:e57-e185

Treatment of fetal circular shunt with non‐steroidal anti‐inflammatory drugs Diagram showing circulation in fetal heart with unrestricted circular shunt.

Presentation transcript:

Fetal Ductal Constriction

Fetal ductal constriction – Use PI Tulzer G, Gudmundsson S, Sharkey AM, Wood DC, Cohen AW, Huhta JC: Doppler echocardiography of fetal ductus arteriosus: Constriction versus increased right ventricular output. JACC 18:532-6, 1991

Fetal Ductal Constriction Constrictors of ductus: Aspirin Indomethacin Ibuprofen Nonsteroidal anti-inflammatory drugs

Fetal Ductal Constriction Fetal Ductal Constriction Ductal constriction: can occur either in singleton or multiple pregnancies. Course: Ductal constriction can lead to total ductal occlusion in utero. Chronic constriction can lead to ductal changes Treatment: Withdrawal of causative medicine Post natal: Post natal: Persistent PDA is reported

Fetal Ductal Constriction

Fetal Ductal Constriction Fetal Ductal Constriction Withdrawal of the medicine should result in resolution result in resolution of constriction/occlusion within 2-3 days.

Tricuspid regurgitation dP/dt

Fetal Ductal Constriction Fetal Ductal Constriction Chronic spontaneous constriction could lead to changes in the pulmonary vascular bed from fetal pulmonary hypertension and pulmonary arteriolar muscularization. The maternal hyperoxygenation test is suggested after 30 weeks gestation in such cases to exclude pulmonary vascular abnormal reactivity.