Fetal Diagnosis and Therapy

 

Prenatal Diagnosis of Partial Anomalous Pulmonary Venous Connection by Detection of Dilatation of Superior Vena cava in Hypoplastic Left Heart

A Case Report

Respondek-Liberska M.a · Janiak K.a · Moll J.b · Ostrowska K.b · Czichos E.c

Author affiliations

aDepartment of Diagnosis and Prophylaxis of Congenital Malformations, bPediatric Cardiology Clinic and cDepartment of Pathomorphology, Institute Polish Mother’s Memorial Hospital, Łódź, Poland

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Fetal Diagn Ther 2002;17:298–301

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Article / Publication Details

First-Page Preview
Abstract of Paper

Received: August 02, 2001
Accepted: November 19, 2001
Published online: August 12, 2002
Issue release date: September – October

Number of Print Pages: 4
Number of Figures: 4
Number of Tables: 0

ISSN: 1015-3837 (Print)
eISSN: 1421-9964 (Online)

For additional information: https://www.karger.com/FDT

Abstract

A 27-week fetus was given targeted fetal echocardiography due to an abnormal four-chamber view. A complex heart malformation was seen with two atria, a single ventricle, and aortic and mitral atresia. In addition to intracardiac findings, a dilated superior vena cava (SVC) was seen, suggesting a possible abnormal pulmonary venous connection to the SVC. An increased venous flow (up to 90 cm/s) was recorded as well. The course of pregnancy was uneventful and the baby was delivered vaginally at term. Cardiac surgery was planned but the baby died on 4th day of life. The autopsy findings confirmed both intracardiac anomalies as well as partial anomalous venous connection to SVC, with no apparent obstruction. This is the first report which stresses that dilatation of the fetal SVC may be suspicious for partial abnormal pulmonary venous connection during prenatal life.

© 2002 S. Karger AG, Basel




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References

  1. Allan LD, Sharland GK: The echocardiographic diagnosis of totally anomalous pulmonary venous connection in the fetus. Heart 2001;85:433–437.
    External Resources
  2. Patel CR, Lane JR, Muise KL: In utero diagnosis of obstructed supracardiac total anomalous pulmonary venous connection in a patient with right atrial isomerism and asplenia. Ultrasound Obstet Gynecol 2001;17:269–271.
  3. Hornberger LK: Abnormalities of systemic and pulmonary venous connections; in Allan L, Hornberger L, Sharland G (eds): Textbook of Fetal Cardiology. London, Greenwich Medical Media, 2000.
  4. Yeager SB, Parness IA, Spevak PJ, Hornberger LK, Sanders SP: Prenatal echocardiographic diagnosis of pulmonary and systematic venous anomalies. Am Heart J 1994;128:397–405.
  5. Feller-Printz BF, Allan LD: Abnormal pulmonary venous return diagnosed prenatally by pulsed Doppler flow imaging. Ultrasound Obstet Gynecol 1997;9:347–349.

Article / Publication Details

First-Page Preview
Abstract of Paper

Received: August 02, 2001
Accepted: November 19, 2001
Published online: August 12, 2002
Issue release date: September – October

Number of Print Pages: 4
Number of Figures: 4
Number of Tables: 0

ISSN: 1015-3837 (Print)
eISSN: 1421-9964 (Online)

For additional information: https://www.karger.com/FDT


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