Remnants of fetal circulation: appearance on MDCT in adults

Elmar M Merkle1, Robert C Gilkeson

  • 1Department of Radiology, Duke University Medical Center, Duke North, Rm. 1417, Erwin Rd., Durham, NC 27710, USA.

Abstract

Insights

MDCT imaging frequently visualizes fetal circulation remnants in adults, including the umbilical vein, ductus venosus, foramen ovale, ductus arteriosus, and umbilical arteries.

Area of Science:

  • Medical Imaging
  • Anatomy
  • Embryology

Background:

  • Fetal circulation structures typically involute after birth.
  • Remnants of fetal circulation can occasionally persist into adulthood.
  • Understanding these remnants is important for anatomical and pathological assessments.

Purpose of the Study:

  • To describe the MDCT appearance of fetal circulation remnants in adults.
  • To document the common locations and morphology of these structures.

Main Methods:

  • Multi-detector computed tomography (MDCT) scans of adult patients were reviewed.
  • Image analysis focused on identifying specific fetal circulation remnants.

Main Results:

  • The umbilical vein remnant was visualized in a significant portion of cases.
  • The ductus venosus, foramen ovale, ductus arteriosus, and umbilical arteries also showed characteristic appearances on MDCT.
  • Detailed descriptions of the morphology and common findings for each remnant were established.

Conclusions:

  • MDCT is a valuable tool for visualizing adult remnants of fetal circulation.
  • Familiarity with these MDCT findings aids in accurate anatomical interpretation.
  • These remnants, though usually asymptomatic, can be relevant in certain clinical contexts.