Anatomical and pathophysiological features of fetal circulation in the umbilical-portal venous system

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Abstract

Being facilitated in recent years by the advent of high-resolution gray-scale, color Doppler and three-dimensional ultrasound, prenatal visualization of venous vessels has improved much and well contributed to a better understanding of the value of fetal venous circulation. The fetal liver plays an important role in ensuring normal fetal blood circulation, receiving up to 70–80% of venous return from the placenta. Of particular importance is its role in the regulation of intrauterine growth. Venous inflow to the fetal liver is significantly influenced by maternal factors. Ultrasound evaluation of the fetal venous system remains to be not an easy task. This article discusses the significance and features of the anatomical and functional development of the fetal intrahepatic venous system.

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About the authors

Elizaveta V. Shelayeva

The Research Institute of Obstetrics, Gynecology and Reproductology named after D.O. Ott

Email: eshelaeva@yandex.ru
ORCID iD: 0000-0002-9608-467X
SPIN-code: 7440-0555
ResearcherId: K-2755-2018

MD, Cand. Sci. (Med.)

Russian Federation, 3 Mendeleevskaya Line, Saint Petersburg, 199034

Elizaveta M. Tsybuk

St. Petersburg State University

Email: elizavetatcybuk@gmail.com
ORCID iD: 0000-0001-5803-1668
SPIN-code: 3466-7910
ResearcherId: ABB-6930-2020

student, The Department of Obstetrics, Gynecology, and Reproductive Sciences, Medical Faculty

Russian Federation, Saint Petersburg

Ekaterina V. Kopteyeva

The Research Institute of Obstetrics, Gynecology and Reproductology named after D.O. Ott

Email: ekaterina_kopteeva@bk.ru
ORCID iD: 0000-0002-9328-8909
SPIN-code: 9421-6407

MD, Junior Researcher, The Department of obstetrics and perinatology

Russian Federation, 3 Mendeleevskaya Line, Saint Petersburg, 199034

Roman V. Kapustin

The Research Institute of Obstetrics, Gynecology and Reproductology named after D.O. Ott; St. Petersburg State University

Email: kapustin.roman@gmail.com
ORCID iD: 0000-0002-2783-3032
SPIN-code: 7300-6260
ResearcherId: G-3759-2015

MD, Dr. Sci. (Med.)

Russian Federation, 3 Mendeleevskaya Line, Saint Petersburg, 199034; Saint Petersburg

Igor Yu. Kogan

The Research Institute of Obstetrics, Gynecology and Reproductology named after D.O. Ott; St. Petersburg State University

Author for correspondence.
Email: ikogan@mail.ru
ORCID iD: 0000-0002-7351-6900
SPIN-code: 6572-6450
Scopus Author ID: 56895765600
ResearcherId: P-4357-2017

MD, Dr. Sci. (Med.), Professor, Corresponding Member of the Russian Academy of Sciences

Russian Federation, 3 Mendeleevskaya Line, Saint Petersburg, 199034; Saint Petersburg

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Supplementary files

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2. Fig. 1. Diagram of fetal umbilical-portal venous system: UV — umbilical vein; LPV — left portal vein; DV — ductus venosus; RPV — right portal vein; MPV — main portal vein; aRPV — anterior branch of the right portal vein; pRPV — posterior branch of the right portal vein; IVC — inferior vena cava; А — aorta; G — gallbladder

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3. Fig. 2. 3D reconstruction in Glass Body rendering mode by GE Healthcare Voluson E10 (USA). The gestational age is 31 weeks and 3 days. The fetal umbilical-portal venous system. UV — umbilical vein; LPV — left portal vein; DV — ductus venosus; RPV — right portal vein; MPV — main portal vein; aRPV — anterior branch of the right portal vein; pRPV — posterior branch of the right portal vein; 1 — medial branch of the left portal vein; 2 — inferior branch of the left portal vein; 3 — superior branch of the left portal vein

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4. Fig. 3. 3D reconstruction of variants of the umbilical-portal anastomosis in HD Glass Body rendering mode by GE Healthcare Voluson E10 (USA): а — Т-shaped anastomosis; b — Х-shaped anastomosis; c — Н-shaped anastomosis. LPV — left portal vein; MPV — main portal vein; aRPV — anterior branch of the right portal vein; pRPV — posterior branch of the right portal vein. The gestational age is 30 0/7 to 33 6/7 weeks

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СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
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СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия Эл № 77 - 6389 от 15.07.2002 г.


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