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Wiley - PMC COVID-19 Collection logoLink to Wiley - PMC COVID-19 Collection
. 2021 Oct 14;58(Suppl 1):192. doi: 10.1002/uog.24363

VP22.19: Tortous ductus arterious: novel sign of post‐COVID fetal changes

P Acharya 1
PMCID: PMC8662282

Objectives

Identify the changes in fetus after maternal COVID‐19 infection.

Methods

Fetal evaluation was done for structural defects and Doppler changes at 3 weeks and 6 weeks post‐COVID RTPCR positive report. we have100 antenatal patients were identified after 26 weeks of gestation. We did anomaly survey including fetal echocardiography and fetal Doppler of umbilical artery (UA), middle cerebral artery (MCA) and ductus venosus (DV).

Results

We found that ductus arterious (DA) was elongated and became tortious. DA was found to 25% bigger than aortic isthmus. Post‐COVID may have created 'steal' phenomena leading to constriction of AoI. This can be reason of sudden post‐COVID still birth (3%). MCA Doppler findings remain abnormal having lower PI than routine PI at that gestation. UA remains unchanged. CPR was altered also but not going below the 5th centile.

Conclusions

Look of subtle Doppler changes like MCA PI and tortious DA in post‐COVID situation. More studies needed to confirm these findings in post‐COVID fetal scanning.


Articles from Ultrasound in Obstetrics & Gynecology are provided here courtesy of Wiley

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