Artéria umbilical única – Relato de caso
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Introdução: apresentamos um caso de artéria umbilical isolada, que, embora seja um achado visto frequentemente ao exame ultrassonográfico pré-natal e nas salas de parto, pode estar associado a outras malformações congênitas. Objetivo: relatar um caso de artéria umbilical única. Descrição do caso: apresentamos um caso de artéria umbilical isolada em um recém-nascido a termo, sem repercussões
maternas ou fetais detectáveis. Discussão: a presença de artéria umbilical única pode estar associada a outras malformações congênitas. Na presença de fatores de risco, tais como idade avançada, alterações genéticas, diabetes mellitus durante a gravidez, história familiar de doença cardíaca congênita ou inseminação artificial, deverá ser realizado aconselhamento genético, ecocardiografia e ultrassonografia
abdominal e geniturinária.
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Referências
1. Murphy-Kaulbeck L, Dodds L, Joseph KS, Van den Hof M. Single umbilical artery risk factors and pregnancy outcomes. Obstet Gynecol. 2010;116(4):843-50.
2. Austin-Ward ED, Nazer JH. Arteria umbilical unica y malformaciones asociadas: experiencia en el Hospital Clinico de la Universidad de Chile. Rev. Chil. Pediatr. 1998;69(5):195-9.
3. Persutte WH, Hobbins J. Single umbilical artery: a clinical enigma in modern prenatal diagnosis. Ultrasound Obstet Gynecol. 1995;6(3):216-29.
4. Blackburn, W, Cooley NR. The umbilical cord. In: Stevenson RE, Hall JG, Goodman RM (Eds.). Human malformations and related anomalies. Vol. II. New York: Oxford University Press; 1993. p. 1081-141.
5. Nayak SS, Shukla A, Girisha KM. Anomalies associated with single umbilical artery at perinatal autopsy. Indian Pediatr. 2015;52(1):73-4.
6. McMurran AE, McMahon SV, Walker GM. Intestinal associations of a single umbilical artery. Arch Dis Child Fetal Neonatal Ed. 2015;100(3):F263.
7. Araujo Júnior E, Palma-Dias R, Martins WP, Reidy K, da Silva Costa F. Congenital heart disease and adverse perinatal outcome in fetuses with confirmed isolated single functioning umbilical artery. J Obstet Gynaecol. 2015;35(1):85-7.
8. Horton AL, Barroilhet L, Wolfe HM. Perinatal outcomes in isolated single umbilical artery. Am J Perinatol. 2010;27(4):321-4.
9. Naveiro-Fuentes M, Carrillo-Badillo MP, Malde-Conde J, Gallo-Vallejo JL, Puertas-Prieto A. Perinatal outcomes in singleton pregnancies with a single umbilical artery. J Matern Fetal Neonatal Med. 2016;29(10):1562-5.
10. Luo X, Zhai S, Shi N, Li M, Cui S, Xu Y et al. The risk factors and neonatal outcomes of isolated single umbilical artery in singleton pregnancy: a meta-analysis. Scientific Reports. 2017;7:7396.
11. Battarbee AN, Palatnik A, Ernst LM, Grobman WA. Placental abnormalities associated with isolated single umbilical artery in small-for-gestational-age births. Placenta. 2017;59:9-12.
12. Wu YP, Tsai HF, Cheng YC, Kang L, Tsai PY, Yu CH et al. Prenatal sonographic diagnosis of single umbilical artery: emphasis on the absent side and its relation to associated anomalies. Taiwan J Obstet Gynecol. 2014;53(2):197-201.
13. Martínez-Payo C, Cabezas E, Nieto Y, Ruiz de Azúa M, García-Benasach F et al. Detection of single umbilical artery in the first trimester ultrasound: its value as a marker of fetal malformation. BioMed Res Intern Art. 2014. DOI: http://dx.doi.org/10.1155/2014/548729
14. Chen K, Akoma U, Anderson A, Mertz H, Quartermain MD. Prenatally diagnosed single umbilical artery: the role and relationship of additional risk factors in the fetus for congenital heart disease. J Clin Ultrasound. 2016;44(2):113-7.
15. Gurram P, Figueroa R, Sipusic E, Kuhnly N, Clark S, Janicki MB. Isolated single umbilical artery and fetal echocardiography: a 25-year experience at a tertiary care city hospital. J Ultrasound Med. 2018;37(2):463-68.