Doppler evaluation of the posterior cerebral artery in fetuses with transposition of great arteries

Ya Tan 1 , Shi Zeng 2 , YuShan Liu 1 , HuaYu Tang 1  and BaiHua Zhao 1
  • 1 Department of Ultrasound, the Second Xiangya Hospital of Central South University, Changsha, P.R. China
  • 2 Department of Ultrasound, the Second Xiangya Hospital of Central South University, 139 Renmin Road, Changsha, 410011 Hunan, P.R. China
Ya Tan
  • Department of Ultrasound, the Second Xiangya Hospital of Central South University, Changsha, P.R. China
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, Shi Zeng
  • Corresponding author
  • Department of Ultrasound, the Second Xiangya Hospital of Central South University, 139 Renmin Road, Changsha, 410011 Hunan, P.R. China
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, YuShan Liu
  • Department of Ultrasound, the Second Xiangya Hospital of Central South University, Changsha, P.R. China
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, HuaYu Tang
  • Department of Ultrasound, the Second Xiangya Hospital of Central South University, Changsha, P.R. China
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and BaiHua Zhao
  • Department of Ultrasound, the Second Xiangya Hospital of Central South University, Changsha, P.R. China
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  • degruyter.comGoogle Scholar

Abstract

Objective

To observe Doppler ultrasound changes in the two segments of the posterior cerebral artery (PCA) in fetuses with transposition of the great arteries (TGA).

Methods

The peak systolic velocity (PSV), end-diastolic velocity (EDV), pulsatility index (PI), and velocity-time integral (VTI) of the two segments of PCA (the first segment: PCAS1, the second segment: PCAS2) and of the middle cerebral artery (MCA) were compared in TGA fetuses and normal fetuses. The abnormality rate between the PCAS1-PI and MCA-PI was compared in TGA fetuses.

Results

The PCAS1-PI and MCA-PI were smaller in the TGA fetuses than in the controls (all P < 0.05), but the PCAS2-PI was unchanged (P > 0.05). The MCA-VTI, PCAS1-VTI, and PCAS2-VTI were larger in the TGA fetuses (all P < 0.05). In the TGA fetuses, the abnormality rate of the PCAS1-PI was significantly higher than that of the MCA-PI (P < 0.05).

Conclusion

In fetuses with TGA, there were hemodynamic differences between the two segments of the posterior cerebral arteries. Moreover, PCAS1 exhibited signs of vasodilatation more obviously than did the MCA in fetuses with TGA.

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