An Absent Right Umbilical Artery Versus Absent Lt and the Prognostic Implications for the Fetus-Reference-Cited by-同舟云学术

An Absent Right Umbilical Artery Versus Absent Lt and the Prognostic Implications for the Fetus

Published:2014-12-22 Issue:1 Volume:31 Page:12-19
ISSN:8756-4793
Container-title:Journal of Diagnostic Medical Sonography
language:en
Short-container-title:Journal of Diagnostic Medical Sonography

Author:

Durant Jennifer¹,Helm Douglas¹,Having Karen²,Guthrie Joy³

Affiliation:

1. Perinatal Associates of Central California Medical Group, Fresno, CA, USA

2. Carbondale, IL, USA

3. Community Regional Medical Center, Fresno, CA, USA

Abstract

A single umbilical artery (SUA) is one of the most common malformations in a fetus, with approximately a 1% occurrence rate. A retrospective study of 108 fetuses with a SUA was done to determine if the laterality of the SUA made a difference in fetal prognosis. An absent right umbilical artery was found in 42 (38.9%) of cases and an absent left umbilical artery in 66 (61.1%) cases. When correlated with fetal outcome, there was a closer association between an absent right umbilical artery with genitourinary anomalies, cardiac defects, and chromosomal abnormalities. There was a nine times greater likelihood (95% confidence interval of a 3 to 27 times greater probability) of a fetal anomaly with an absent right umbilical artery than with an absent left umbilical artery.

Publisher

SAGE Publications

Subject

Radiology, Nuclear Medicine and imaging,Radiological and Ultrasound Technology

Link

http://journals.sagepub.com/doi/pdf/10.1177/8756479314563161

Reference29 articles.

1. SINGLE UMBILICAL ARTERY—RIGHT OR LEFT? DOES IT MATTER?

2. Single umbilical artery: Does it matter which artery is missing?

3. Fetal and funicular vascular anomalies: identification with prenatal US.

4. Left Versus Right Intra-abdominal Umbilical Arteries

5. Antenatal detection of a single umbilical artery: does it matter?