EVALUATION OF BLOOD FLOW IN THE MEDIAL CEREBRAL ARTERY IN FETUSES WITH HYPOPLASTIC LEFT HEART SYNDROME

In the present study, we have attempted to systematize the possibility of Doppler sonography as a non-invasive diagnostic tool for monitoring the development of the central nervous system in the fetus with congenital heart disease. The detailed analysis of fetal hemodynamic changes in fetuses with hypoplastic left heart syndromes at different gestation stages was performed. The dynamic study of intrafetal hemodynamics was clearly demonstrated to help professionals to organize a more thorough prenatal care the fetuses of which have congenital heart diseases with obstructive lesions of the main arteries, and to predict the initial manifestations of developing the central nervous system pathologies, as well as to choose the optimal method of treatment to reduce complications in the postnatal period. Comprehensive assessment of the intrafetal hemodynamics in fetuses with congenital heart disease allows clearly identifying the stages of a pathological condition in the central nervous system and the degree of their severity.