Ultrasound relevance in prenatal diagnosis of VACTERL association – Two clinical cases
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10400.16/2546 |
Resumo: | VATER is a nonrandom association of congenital defects with common developmental pathogenesis including/which includes malformations like vertebral defects, anal atresia or imperforate anus, tracheoesophageal fistula with esophageal atresia, and radial or renal dysplasia. VATER acronym was initially used to describe this association, but other malformations, like cardiac defects and limb anomalies, were later also considered cardinal features and included, changing the acronym to VACTERL. Although few cases have been reported, VATER/VACTERL spectrum association can be detected in first-trimester ultrasound. Herein, the authors describe two cases of VATER/VACTERL association suspected during the 12-week ultrasound and confirmed in anatomopathological study. Prenatal VACTERL association diagnosis is challenging and rarely detected in the first pregnancy trimester. It requires skill and experience to interpret ultrasound findings and some features are difficult to recognize before birth. Early diagnosis is important for parental counselling and delivery planning. Management options include medical pregnancy termination and delivery in a tertiary center to improve outcomes. |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Ultrasound relevance in prenatal diagnosis of VACTERL association – Two clinical casesA importância da ecografia no diagnóstico pré-natal da associação VACTERL – Dois casos clínicosfetal malformations VACTERL associationfetal ultrasoundprenatal diagnosisVACTERL associationVATER is a nonrandom association of congenital defects with common developmental pathogenesis including/which includes malformations like vertebral defects, anal atresia or imperforate anus, tracheoesophageal fistula with esophageal atresia, and radial or renal dysplasia. VATER acronym was initially used to describe this association, but other malformations, like cardiac defects and limb anomalies, were later also considered cardinal features and included, changing the acronym to VACTERL. Although few cases have been reported, VATER/VACTERL spectrum association can be detected in first-trimester ultrasound. Herein, the authors describe two cases of VATER/VACTERL association suspected during the 12-week ultrasound and confirmed in anatomopathological study. Prenatal VACTERL association diagnosis is challenging and rarely detected in the first pregnancy trimester. It requires skill and experience to interpret ultrasound findings and some features are difficult to recognize before birth. Early diagnosis is important for parental counselling and delivery planning. Management options include medical pregnancy termination and delivery in a tertiary center to improve outcomes.Centro Hospitalar Universitário do PortoRepositório Científico do Centro Hospitalar Universitário de Santo AntónioFelix, JoanaMoreira Barros, JoanaSoares, Ana RitaSoares, FatimaNogueira, RoseteSilva, Pedro Tiago2021-11-16T10:49:08Z2020-032020-03-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.16/2546engFelix J, Moreira-Barros J, Soares AR, Soares F, Nogueira R, Silva PT, Nascer e Crescer - Birth and Growth Medical Journal 2020;29(1): 51-55. doi:10.25753/BirthGrowthMJ.v29.i1.140362183-941710.25753/BirthGrowthMJ.v29.i1.14036info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-10-20T11:01:03Zoai:repositorio.chporto.pt:10400.16/2546Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T20:38:44.990333Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Ultrasound relevance in prenatal diagnosis of VACTERL association – Two clinical cases A importância da ecografia no diagnóstico pré-natal da associação VACTERL – Dois casos clínicos |
title |
Ultrasound relevance in prenatal diagnosis of VACTERL association – Two clinical cases |
spellingShingle |
Ultrasound relevance in prenatal diagnosis of VACTERL association – Two clinical cases Felix, Joana fetal malformations VACTERL association fetal ultrasound prenatal diagnosis VACTERL association |
title_short |
Ultrasound relevance in prenatal diagnosis of VACTERL association – Two clinical cases |
title_full |
Ultrasound relevance in prenatal diagnosis of VACTERL association – Two clinical cases |
title_fullStr |
Ultrasound relevance in prenatal diagnosis of VACTERL association – Two clinical cases |
title_full_unstemmed |
Ultrasound relevance in prenatal diagnosis of VACTERL association – Two clinical cases |
title_sort |
Ultrasound relevance in prenatal diagnosis of VACTERL association – Two clinical cases |
author |
Felix, Joana |
author_facet |
Felix, Joana Moreira Barros, Joana Soares, Ana Rita Soares, Fatima Nogueira, Rosete Silva, Pedro Tiago |
author_role |
author |
author2 |
Moreira Barros, Joana Soares, Ana Rita Soares, Fatima Nogueira, Rosete Silva, Pedro Tiago |
author2_role |
author author author author author |
dc.contributor.none.fl_str_mv |
Repositório Científico do Centro Hospitalar Universitário de Santo António |
dc.contributor.author.fl_str_mv |
Felix, Joana Moreira Barros, Joana Soares, Ana Rita Soares, Fatima Nogueira, Rosete Silva, Pedro Tiago |
dc.subject.por.fl_str_mv |
fetal malformations VACTERL association fetal ultrasound prenatal diagnosis VACTERL association |
topic |
fetal malformations VACTERL association fetal ultrasound prenatal diagnosis VACTERL association |
description |
VATER is a nonrandom association of congenital defects with common developmental pathogenesis including/which includes malformations like vertebral defects, anal atresia or imperforate anus, tracheoesophageal fistula with esophageal atresia, and radial or renal dysplasia. VATER acronym was initially used to describe this association, but other malformations, like cardiac defects and limb anomalies, were later also considered cardinal features and included, changing the acronym to VACTERL. Although few cases have been reported, VATER/VACTERL spectrum association can be detected in first-trimester ultrasound. Herein, the authors describe two cases of VATER/VACTERL association suspected during the 12-week ultrasound and confirmed in anatomopathological study. Prenatal VACTERL association diagnosis is challenging and rarely detected in the first pregnancy trimester. It requires skill and experience to interpret ultrasound findings and some features are difficult to recognize before birth. Early diagnosis is important for parental counselling and delivery planning. Management options include medical pregnancy termination and delivery in a tertiary center to improve outcomes. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-03 2020-03-01T00:00:00Z 2021-11-16T10:49:08Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10400.16/2546 |
url |
http://hdl.handle.net/10400.16/2546 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Felix J, Moreira-Barros J, Soares AR, Soares F, Nogueira R, Silva PT, Nascer e Crescer - Birth and Growth Medical Journal 2020;29(1): 51-55. doi:10.25753/BirthGrowthMJ.v29.i1.14036 2183-9417 10.25753/BirthGrowthMJ.v29.i1.14036 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Centro Hospitalar Universitário do Porto |
publisher.none.fl_str_mv |
Centro Hospitalar Universitário do Porto |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
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1799133647816622080 |