All that practitioners should know about ductus venosus

Yarygina T.A., Gasanova R.M., Marzoeva O.V., Sypchenko E.V., Gus A.I.

1) A.N. Bakulev National Medical Research Center of Cardiovascular Surgery, Ministry of Health of Russia, Moscow, Russia; 2) Patrice Lumumba Peoples' Friendship University of Russia, Moscow, Russia; 3) Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia, Moscow, Russia
This article reviews essential information for clinical specialists regarding the ductus venosus, a functionally significant component of the unique fetal circulation system. It outlines the main stages of formation and the normal anatomical structure of the venous system, which plays a crucial role in providing the oxygenation required for the physiological development of the fetus. The article also describes a technique for obtaining ultrasound images of all components of the afferent-venous complex of the placenta, with a focus on the venous duct. It discusses various types of umbilical-portal-systemic venous shunts that can be detected during the prenatal stage and their association with high risks of syndromic pathology and functional disorders in the fetus. These cases necessitate an individualized approach for the examination and management of each clinical scenario. Additionally, this article covers the guidelines and indications for Doppler assessment of blood flow velocity curves in the venous duct for various complications in both singleton and multiple pregnancies. The authors present data on the normal postnatal closure of the ductus venosus and potential manifestations of a persistent open ductus venosus in children, a rare pathology that significantly affects newborns.
Conclusion: Raising awareness among practitioners regarding the importance of perinatal ultrasound diagnosis for ductus venosus pathologies and hemodynamic disorders will enhance the efficiency of medical care, ultimately reducing perinatal and childhood morbidity and mortality.

Authors' contributions: Yarygina T.A., Gasanova R.M., Gus A.I. – conception and design of the study; Yarygina T.A., Marzoeva O.V., Sypchenko E.V. – data collection and analysis, drafting of the manuscript; Gasanova R.M., Gus A.I. – manuscript editing.
Conflicts of interest: The authors have no conflicts of interest to declare.
Funding: The study was carried out as part of the applied research theme 123020300017-1.
For citation: Yarygina T.A., Gasanova R.M., Marzoeva O.V.,
Sypchenko E.V., Gus A.I. All that practitioners should know about ductus venosus.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2023; (9): 22-32 (in Russian)


ductus venosus
fetal hypoxia
Doppler ultrasound
fetal growth restriction
placental dysfunction
anomalies of the venous system
fetal genetic pathology
congenital heart disease
fetal malformations
prenatal diagnosis


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Received 22.05.2023

Accepted 04.09.2023

About the Authors

Tamara A. Yarygina, PhD, specialist of ultrasound diagnostics, researcher, Perinatal Cardiology Center, A.N. Bakulev National Medical Research Center of Cardiovascular Surgery, 121552, Russia, Moscow, Roublyevskoe Shosse, 135; Associated Professor at the Department of Ultrasound Diagnostics of the Faculty of Continuing Medical Education of the Medical Institute, Patrice Lumumba Peoples' Friendship University of Russia, 127015, Russia, Moscow, Pistsovaya str., 10, +7(495)414-78-75,,
Rena M. Gasanova, Dr. Med. Sci., Head of the Perinatal Cardiology Center, A.N. Bakulev National Medical Research Center for Cardiovascular Surgery, 121552, Russia, Moscow, Rublevskoe shosse, 135; physician of ultrasound diagnostics at the Department of Ultrasound and Functional Diagnostics, Academician V.I. National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia, 117997, Russia, Moscow, Academician Oparin str., 4,,
Olga V. Marzoeva, PhD, doctor of ultrasound diagnostics, Researcher, Perinatal Cardiology Center, A.N. Bakulev National Medical Research Center for Cardiovascular Surgery, 121552, Russia, Moscow, Rublevskoe shosse, 135, +7(495)414-78-75,,
Elena V. Sypchenko, PhD, doctor of ultrasound diagnostics, Perinatal Cardiology Center, A.N. Bakulev National Medical Research Center for Cardiovascular Surgery,
121552, Russia, Moscow, Rublevskoe shosse, 135, +7(495)414-78-75,,
Alexander I. Gus, Dr. Med. Sci., Professor, Chief Researcher at the Department of Ultrasound and Functional Diagnostics, Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia, 117997, Russia, Moscow, Academician Oparin str., 4; Head of the Department of Ultrasound Diagnostics of the Faculty of Continuing Medical Education of the Medical Institute, Patrice Lumumba Peoples' Friendship University of Russia, 127015, Russia, Moscow, Pistsovaya str., 10,,
Corresponding author: Tamara A. Yarygina,

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