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The ductus venosus naturally closes during the first week of life in most full-term neonates; however, it may take much longer to close in pre-term neonates. Functional closure occurs within minutes of birth. Structural closure in term babies occurs within 3 to 7 days. After the ductus venosus closes, its remnant is known as ligamentum venosum.
The ligamentum venosum, also known as Arantius' ligament, [1] is the fibrous remnant of the ductus venosus of the fetal circulation. Usually, it is attached to the left branch of the portal vein within the porta hepatis. It may be continuous with the round ligament of liver.
First, the ductus venosus was previously kept open by the blood flow from the umbilical vein. The reduced blood flow through the umbilical vein at birth will collapse and close the ductus venosus. Hence, the IVC will only carry deoxygenated blood from the infant's organs and lower extremities.
The unpaired umbilical vein carries oxygen and nutrient rich blood derived from fetal-maternal blood exchange at the chorionic villi.More than two-thirds of fetal hepatic circulation is via the main portal vein, while the remainder is shunted from the left portal vein via the ductus venosus to the inferior vena cava, eventually being delivered to the fetal right atrium.
The second branch (known as the ductus venosus) bypasses the liver and flows into the inferior vena cava, which carries blood towards the heart. The two umbilical arteries branch from the internal iliac arteries and pass on either side of the urinary bladder into the umbilical cord, completing the circuit back to the placenta.
The crista dividens plays a role in separating oxygenated blood from the ductus venosus and deoxygenated blood from the inferior vena cava (IVC) draining the caudal portion of the fetus into the left and right atria, respectively. [1] The crista dividens is located on the inferior edge of the interatrial septum and faces the opening of the IVC.
A portion remains open as a branch of the anterior division of the internal iliac artery. The umbilical artery is found in the pelvis, and gives rise to the superior vesical arteries, which in males usually supplies the artery to the ductus deferens. Alternately, the latter artery can be supplied by the inferior vesical artery in some individuals.
The ductus arteriosus, also called the ductus Botalli, named after the Italian physiologist Leonardo Botallo, is a blood vessel in the developing fetus connecting the trunk of the pulmonary artery to the proximal descending aorta. It allows most of the blood from the right ventricle to bypass the fetus's fluid-filled non-functioning lungs.