Doctor insights on:
What Is The Best Treatment For Single Umbilical Artery
Doubtful: Many infants are born with a single umbilical artery and have an uncomplicated life. For some, it is just one of many abnormalities that are part of a complex pattern or syndrome, and could be part of a chromosome defect. I encourage parents to have a full workup done on infant deaths so they can understand what happened, and any implications for future pregnancies. ...Read more
Arteries are defined as blood vessels which carry blood away from the heart (to either the body or lungs). Arteries: higher pressure, thicker walls, stretch (pulse) with each heart contraction & deliver blood to the arterioles which control the flow to individual capillaries. Veins are blood vessels which carry blood from capillaries back to the heart (body to right heart; ...Read more
Normally has 2 arteries and 1 vein
4 different kinds
Type 1-Most common comprising 98% of cases has2 patent vessles
1 an artery of the allentoin and the vein from the left umbelical vein this form is most associated with genito urinary abnormality
usually associated with pregnancies in extreme maternal age, smoking.diabetes, hypertension ...Read more
Majority no problem: Usually the cord has 2 arteries and a vein. It is found in about 5% of pregnancies. The vast majority have no problems at birth, however in about a fourth of these kids there is a higher incidence of malformations that could be in the GI tract, the heart or the nervous system. Also it is associated with higher incidence of chromosomal anomalies like trisomy 18 or trisomy 13. ...Read more
Single artery: Usually in the umbilical cord there are two arteries and one vein. Every now and then a baby is born with one artery in the umbilical cord. In the majority of cases this is not a problem. That single artery can support the pregnancy. Occasionally the single artery can indicate the presence of a congenital abnormality of heart, kidney, intestines. This can be identified by ultrasound. ...Read more
My baby had single umbilical artery, is that why he had coarctation aortic arch + lary, trach, bronc malacia?
Maybe: Single umbilical artery does not necessarily pose a risk to you or your child as an umbilical cord with just one artery is sufficient to support a pregnancy to term. However, sua does increase your child’s risk for certain birth defects. Talk to your OB about this and see if you need additional workup.... ...Read more
I have a condition called single umbilical artery (sua). Are there any risk on my pregnancy or any bad effects on my baby after delivery?
Confusing question: You? Had a sua or the baby? This is a variable finding that most often turns out to be an innocent incidental finding. A subgroup of patients will have chromosome defects or genetic syndromes, with other obvious anomalies. If this has not affected you so far, I would not expect any issues with the baby. Consult a geneticist affiliated with a children's hospital or medical school to gain more info. ...Read more
Hi doctor, I am 6 months pregnant with twins. One of my twin is found to have single umbilical artery in the anomaly scan. Is there any prob wit this?
Maybe: Single umbilical artery occurs in up to 1% of all pregnancies. In 25%, the baby may have abnormalities of the heart, skeletal system, and kidneys among other things. Your doctor may want to send you for a higher level ultrasound study for a more intensive fetal survey evaluation. If other problems are found then genetic counseling is often obtained. Remember, in 75% there are no problems. ...Read more
Epigenics & C.H.D. had local anæsthetic near my ankle during 1st few weeks of pregnancy. Fetus had single umbilical artery. Born with COA. Connection?
Highly unlikely: Lidocaine is not a known teratogen, very well documented. A single umbilical artery and other birth defects including coarctation of the aorta may have genetic cause. Is your baby female? A clinical genetics consult is indicated, as you deserve genetics counseling and testing. Contact your local clinical geneticist, or you may ask for a live consultation through Healthtap. ...Read more
I'm 20 weeks pregnant. Level II ultrasound shows Single Umbilical Artery. Doctor said to go for Triple Test. I am very much worried. Is SUA a problem f?
Doubles: Most umbilical cords have two arteries. They called the doctor because of this congenital anomaly. That does not necessarily mean anything, and your baby should be healthy, though it does need to be noted. ...Read more
It depends: Depending on the type of coronary artery anomaly, no treatment may be necessary. For other types of anomalies, surgery may be necessary to reduce the risk of future cardiac events. Consult your cardiologist who should be able to help answer your questions about your specific type of abnormality and potential risks. ...Read more
What is the best treatment approach to aneurysm of celiac artery (w/dissection), measuring 1.5 x 2.7 centimeters?
Surgery or others: This is really complex, options include open repair, bypass surgery with ligation or just simple ligation. Other less invasive options include endovascular stenting or coil embolization. You must consult with your vascular surgeon to discuss these option which depends on the location of the aneurysm, amount of collaterals, presence of other aneurysms and patient medical condition. ...Read more
3 interventions: 1. Treatment in a stroke unit. 2.IV rtPA therapy administered within 3 hours of onset to patients with ischemic stroke. 3. Aspirin administered within the first 48 hours of stroke. After patients are treated for a stroke, their typical initial rehabilitation program will last 3-4 weeks. ...Read more
Verterbral art disec: The one recommended by the Dr who sees you. ...Read more
A 13 year old child has bradycardia. There is no obviousshunt. What is the best treatment for a coronary fistula collateral flow in main pulmonary artery, above thepulmonary valve?
None: Most coronary fistulas to the mpa are tiny, and if there there is no obvious shunt it will likely not require rx or cause any problems such as bradycardia. Check with your cardiologist for f/u. ...Read more
Conservative: Typically with anticoagulation/coumadin or antiplatelets for 3-6 months. Rarely with require stent placement. ...Read more
Depends: If you know you have a coronary artery anomaly (ie, being born with an artery that supplies the heart muscle arising in an atypical location and/or following an abnormal course), I assume you've had an arteriogram? (which is the only way to diagnose it). Most coronary anomalies are benign and require no treatment. A few are potentially lethal and require bypass surgery. The a-gram distinguishes. ...Read more
Is Ibrance the best course of treatment for someone whose breast cancer has come back in her Lungs&Liver? We are worried about blood clots in arteries?
See your doctor: Both surgeon and nephrologist want to preserve that site, so follow their strict guidelines, and report any problems. ...Read more
I don't believe in unnecessary medical treatment. Do I really need to treat basilar artery migraine?
Depends on how bad I:
The answer depends on how bad they are. If you can tolerate them without any issue then the answer is no. If they bother you then avoid triggers, exercise regularly, limit stress and get enough sleep (eg 7-8hrs min). Eat a well balanced diet, avoid medications and alcohol and smoking. Avoid dairy, caffeine
wheat, chocolate, eggs, rye, tomatoes, oranges. There are some medications - talk to your md. ...Read more
Just depends: There are a lot of options when discussing carotid artery disease. The treatment guidelines are very strict and are based on symptoms and the degree of narrowing found on tests. The options range from observation to placing a stent or surgery to remove the blockage. It is really hard to tell which one is the right treatment until evaluated by a vascular surgeon. ...Read more
Another idea: Narrowing of coronary arteries usually is a result of atherosclerosis, a buildup of plaque on the arterial walls. It is the long term effect of inflammation, cholesterol and aspects of lifestyle. If someone is motivated to change exercise habits, stress levels and diet, investigate the insurers- and medicare-approved program of dr. Dean ornish (www. Pmri. Org). It's work but can reverse this. ...Read more
Normally has 2 arteries and 1 vein 4 different kinds Type 1-Most common comprising 98% of cases has2 patent vessles 1 an artery of the allentoin and the vein from the left umbelical vein this form is most associated with genito urinary abnormality usually associated with pregnancies in extreme maternal ...Read more