Cerebrovascular hemodynamics in fetuses with congenital heart disease.
Tingting ManYihua HeYing ZhaoLin SunXiaowei LiuShuping GePublished in: Echocardiography (Mount Kisco, N.Y.) (2018)
Our study suggests MCA-PI is lower in aortic stenosis and high in pulmonary atresia but not significantly different in other LSOL, HLHS, RSOL, and HRHS. MCA-PI regulation in CHD is probably more associated with left and right outflow obstruction, location of the obstruction, and hemodynamics rather than "brain sparing effect" or preferential shunting of blood to the fetal brain, heart, and adrenals in the stressed fetus (eg, IUGR). CPR may not be a sensitive measure for the effect of CHDs and their severity on cerebral and placental circulation.
Keyphrases
- aortic stenosis
- transcatheter aortic valve replacement
- ejection fraction
- resting state
- aortic valve replacement
- white matter
- aortic valve
- transcatheter aortic valve implantation
- cerebral ischemia
- left ventricular
- cardiac arrest
- functional connectivity
- pulmonary hypertension
- subarachnoid hemorrhage
- heart failure
- coronary artery disease
- atrial fibrillation
- multiple sclerosis
- gestational age
- brain injury
- minimally invasive
- preterm birth