Does Fetal Renal Disease Have a Hemodynamic Effect in the Prenatal Period? A Detailed Analysis Method with Fetal Echocardiography

Aim: Is there a change in the circulatory system in fetuses with renal disease in the prenatal period to make hemodynamic assessments. In addition, fetal cardiac functions in the same patients will be studied in detail using fetal echocardiography. Material and Method: Thirty-one fetuses with renal disease were included in the study; 4 with polycystic kidneys, 4 with bilateral hydronephrosis, 12 with unilateral hydronephrosis, and 28 with pelvicalyceal ectasia. in the control group, there were 20 fetuses of the same gestational week without renal disease. The circulatory system and hemodynamic status were examined in detail by fetal echocardiography in both groups. Results: High levels of umbilical artery PI were observed in 2 fetuses with bilateral hydronephrosis and 2 fetuses with unilateral hydronephrosis. MCA PI Values were high in 2 fetuses with bilateral hydronephrosis and 2 cases with isolated pelvicalyceal ectasia. Comparison of right and left MPI values of fetuses with renal disease with normal fetuses showed no significant result, but pulse Doppler of the tricuspid valve was not normal in fetuses with fetal renal disease. Conclusion: With the analysis methods of fetal echocardiography, we can reveal the hemodynamic influence and evaluation of cardiac function in the prenatal period with sensitive measurements.