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Abstract #0857

Comprehensive human fetal hemodynamic assessment by phase contrast MRI and MR oximetry

Liqun Sun 1,2 , Joshua van Amerom 3,4 , Mashael Al-Rujaib 1 , Edgar Jaeggi 2 , Lars Grosse Wortmann 2 , Shi-Joon Yoo 1 , Christopher K. Macgowan 3 , and Mike Seed 1

1 Department of Diagnostic Imaging, Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada, 2 Department of Paediatrics, Division of Paediatric Cardiology, Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada, 3 Departments of Medical Biophysics and Medical Imaging, Hospital for Sick Children, University of Toronto, Ontario, Canada, 4 Division of Imaging Sciences and Biomedical Engineering, Kings College, London, United Kingdom

We demonstrated evidence of reduced DO2 and VO2 due to placental insufficiency in a fetus with aortic coarctation and clinical evidence of fetal distress with associated hypoxic brain injury that was undetected by routine clinical monitoring. An unexpected finding was the lower placental oxygen delivery in fetuses with CHD, which could be due to abnormal placental development and function in the setting of CHD.

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