Fetal hemodynamics

J Perinat Med. 2001;29(5):371-80. doi: 10.1515/JPM.2001.053.

Abstract

Starting in the left cardiac ventricle the reader is taken on a guided tour on a fetal erythrocyte as measured by Doppler ultrasound. Up in the ascending aorta we move through the aortic isthmus to the descending aorta and the internal umbilical arteries, which fuse around the umbilical cord. With fresh oxygen from the placenta our erythrocyte moves in an accelerating continuous flow along the umbilical vein to the ductus venosus. After having reached the left ventricle again it now passes through a coronary artery to the right atrium and eventually the ductus arteriosus or the pulmonary circulation. Concepts of pulsatility, impedance and resistance are presente in the context of their clinical applicability in Doppler waveforms of various fetal vessels.

Publication types

  • Review

MeSH terms

  • Aorta, Thoracic / diagnostic imaging
  • Aorta, Thoracic / embryology
  • Aorta, Thoracic / physiology
  • Cerebral Arteries / diagnostic imaging
  • Cerebral Arteries / embryology
  • Cerebral Arteries / physiology
  • Ductus Arteriosus / diagnostic imaging
  • Ductus Arteriosus / embryology
  • Ductus Arteriosus / physiology
  • Embryonic and Fetal Development / physiology*
  • Female
  • Hemodynamics / physiology*
  • Humans
  • Pregnancy
  • Pulmonary Artery / diagnostic imaging
  • Pulmonary Artery / embryology
  • Pulmonary Artery / physiology
  • Pulmonary Veins / diagnostic imaging
  • Pulmonary Veins / embryology
  • Pulmonary Veins / physiology
  • Renal Artery / diagnostic imaging
  • Renal Artery / embryology
  • Renal Artery / physiology
  • Ultrasonography, Doppler
  • Ultrasonography, Prenatal
  • Umbilical Arteries / diagnostic imaging
  • Umbilical Arteries / embryology
  • Umbilical Arteries / physiology
  • Umbilical Veins / diagnostic imaging
  • Umbilical Veins / embryology
  • Umbilical Veins / physiology