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EP18.09: Abnormal tibial artery Dopplerometry of a growth‐restricted fetus (FGR) with a genetic syndrome: a case report
Author(s) -
Norvilaite K.,
Ramasauskaite D.,
Kurmanavicius J.,
Arlauskiene A.,
Bartkeviciene D.
Publication year - 2019
Publication title -
ultrasound in obstetrics and gynecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.202
H-Index - 141
eISSN - 1469-0705
pISSN - 0960-7692
DOI - 10.1002/uog.21488
Subject(s) - medicine , ductus venosus , fetus , single umbilical artery , umbilical artery , gestational age , nonstress test , obstetrics , ultrasound , pregnancy , pathological , radiology , heart rate , blood pressure , genetics , biology , fetal heart rate
Case report We present a case of a 33-year-old woman G2 P2 diagnosed with FGR at 27th gestational week at Perinatology Centre of Vilnius University Hospital Santaros Klinikos. From 32th to 37th pregnancy week, monitoring twice a week involved NST and doppler examination of tibial, fetal umbilical, middle cerebral, ductus venosus and uterine arteries. Normal parameters of all the arteries were observed until 34+5 weeks, when the first pathological change of increased pulsarity index in the tibial artery was registered. Fetal biometry showed EFW of 1,504 g, below 10th percentile, asymmetrical growth restricted fetus. Conclusion In conclusion, this is a fetal growth restriction case monitored adding peripheral artery doppler examination a. tibialis, as the first indicator of the deteriorating condition of the fetus. From 34+5 weeks to 36+2 weeks the abnormal PI increase was found only in the tibial artery Fig.1, Fig.2, while the umbilical Fig.3, middle cerebral Fig.4, ductus venosus and uterine arteries were normal. NST was normal too. At 37+1 weeks a female newborn was delivered by induction, 1,790 g, below 5th percentile, 46 cm of height, 9/9 Apgar points, umbilical cord pH 7,33. Figure 1. Pulsatility index (PI) of the fetal anterior tibial artery