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Related Concept Videos

Fetal Circulation01:14

Fetal Circulation

Fetal circulation is a unique system that facilitates the exchange of gases, nutrients, and waste products between the developing fetus and the mother. This intricate process takes place through a special organ called the placenta.
Two umbilical arteries transport blood from the fetus to the placenta. At the placenta, the blood absorbs oxygen and nutrients while simultaneously eliminating waste products. This oxygen-enriched and nutrient-rich blood then returns to the fetus through one...
Development of Blood Vessels01:07

Development of Blood Vessels

The development of the vascular system in a fetus is a complex and intricate process that begins as early as 15 to 16 days post-conception. This process starts outside the embryo, specifically in the mesoderm of the yolk sac, chorion, and connecting stalk. Approximately two days later, the formation of blood vessels occurs within the embryo itself.
The initial formation of this system is facilitated by the small amount of yolk present in the ovum and yolk sac. Blood vessels originate from...

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State of the Art Cranial Ultrasound Imaging in Neonates
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Published on: February 2, 2015

Neonate with a single umbilical vessel: a case report.

D Radford Shanklin1, Jie Zhang

  • 1Department of Pathology and Laboratory Medicine, University of Tennessee Health Sciences Center, 930 Madison Avenue, Suite 599, Memphis, TN 38163, USA. radfordcrawford@juno.com

The Journal of Reproductive Medicine
|August 19, 2007
PubMed
Summary

A severely malformed infant with a single umbilical artery survived only 62 minutes, highlighting the placenta's role in fetal development despite severe congenital anomalies.

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Area of Science:

  • Perinatology
  • Developmental Biology
  • Medical Genetics

Background:

  • The placenta sustains fetuses in utero, supporting vital respiratory, metabolic, and excretory functions.
  • This support is crucial even when severe fetal malformations prevent postnatal survival.

Observation:

  • A 1,075g infant, born at 30 weeks gestation with gastroschisis and a short umbilical cord (13.0 cm), survived for 62 minutes.
  • Pathological examination revealed an 8.0-cm segment of the umbilical cord containing a single umbilical artery, primarily a vein with arterial pads.

Findings:

  • The infant presented with severe malformations incompatible with sustained life.
  • The umbilical cord exhibited a significant abnormality: a single umbilical artery.

Implications:

  • This case underscores the critical role of placental function in maintaining fetal life, even with profound congenital defects.
  • The findings emphasize the biological distinction between mere existence and sustained vitality in neonates with severe malformations.