臨床婦人科産科70巻10号

2016年10月発行

今月の臨床 胎児発育不全（FGR）の管理Up To Date

原因別にみた管理の実際 胎児要因

先天性心疾患におけるFGRの評価

著者： 山本祐華¹

所属機関： ¹順天堂大学医学部附属静岡病院産婦人科

ページ範囲：P.932 - P.937

文献概要

●先天性心疾患（CHD）では染色体異常や心臓以外の構造奇形を合併した場合，FGRのリスクが上昇する．

●左心閉塞性疾患（特に左心低形成症候群や重症の大動脈縮窄症）では，FGRがなくても生理的にbrain sparing effect（MCA RI低下とUmA RI上昇）を認める．

●右心閉塞性疾患では，胎児循環の悪化がなくても生理的に静脈管の逆流波や下大静脈の逆流波の増高を認める．

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