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vol.75 número3RESECCIÓN HISTEROSCÓPICA DEL TABIQUE VAGINAL EN EL SÍNDROME DE HERLYN - WERNER - WÜNDERLICH: REPORTE DE UN CASOVAGINOSIS CITOLÍTICA: UN DIAGNÓSTICO DIFERENCIAL POCO FRECUENTE DE VULVOVAGINITIS MICÓTICA A REPETICIÓN índice de autoresíndice de materiabúsqueda de artículos
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Revista chilena de obstetricia y ginecología

versión impresa ISSN 0048-766Xversión On-line ISSN 0717-7526

Resumen

MANOLI M, Juan Carlos    y  CARVAJAL C, Jorge  . SIGNIFICADO DE FLUJO DIASTÓLICO AUSENTE O REVERSO EN EL DOPPLER DE ARTERIA UMBILICAL COMO ÚNICA ALTERACIÓN EN LA EVALUACIÓN DE BIENESTAR FETAL EN FETOS CON TRISOMÍA 21. Rev. chil. obstet. ginecol. [online]. 2010, vol.75, n.3, pp.189-193. ISSN 0048-766X.  http://dx.doi.org/10.4067/S0717-75262010000300008.

Evaluation of fetal well-being is a clinical challenge. The finding of absent or reverse diastolic flow (ADF/ RDF) in the umbilical artery Doppler velocimetry is considered a sign of placental insufficiency. However, it is possible to find ADF/RDF without placental insufficiency in trisomy 21 fetuses. A clinical case of a pregnant woman having a suspected Down syndrome fetus, with ADF/RDF in the umbilical artery Doppler, without any other alteration in fetal well-being tests with no signs of hypoxia at birth, but with a congenital heart disease is reported. Few cases have benne reported showing similar findings, postulating that umbilical artery Doppler with ADF/RDF may be caused by congenital heart disease. Maternal fetal medicine specialist have faced situations like this but they don't known scientific evidence supporting expectant management in these patients. We conclude that fetuses with Down syndrome and ADF/RDF in umbilical artery Doppler should be carefully evaluated by congenital heart disease but keeping a high suspicion of placental insufficiency and acting according to that.

Palabras clave : Trisomy 21; absent or reverse diastolic flow; congenital heart disease.

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