Document Detail


Prenatal diagnosis and antenatal history of total anomalous pulmonary venous return.
MedLine Citation:
PMID:  17175483     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Total anomalous pulmonary venous return (TAPVR) is traditionally diagnosed by echocardiography or cardiac catheterization postnatally after the appearance of clinical signs. We report a case of TAPVR diagnosed prenatally by targeted echocardiography. CASE REPORT: A 17-year-old woman was referred at 34 weeks of gestation because of persistent bradycardia. Echocardiography showed atrial disproportion and no direct pulmonary venous return to the left atrium. A female infant was delivered by cesarean section at 38 weeks of gestation. Echocardiography and cardiac catheterization were arranged soon after delivery and TAPVR was confirmed. The infant underwent surgical repair of TAPVR by anastomosis between the left atrium and pulmonary venous confluence as well as surgical ligation of the patent ductus arteriosus at the age of 2 days. The infant died on the 28th postoperative day due to obstruction of pulmonary venous return and respiratory failure. CONCLUSION: With advances in sonographic equipment and careful evaluation of cardiac structures, it is possible to diagnose TAPVR prenatally. Pulmonary venous anatomy should be checked during prenatal examination.
Authors:
Yi-Yung Chen; Chin-Yuan Hsu
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Taiwanese journal of obstetrics & gynecology     Volume:  45     ISSN:  1875-6263     ISO Abbreviation:  -     Publication Date:  2006 Sep 
Date Detail:
Created Date:  2006-12-18     Completed Date:  2007-01-09     Revised Date:  2007-12-28    
Medline Journal Info:
Nlm Unique ID:  101213819     Medline TA:  Taiwan J Obstet Gynecol     Country:  China    
Other Details:
Languages:  eng     Pagination:  283-5     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, Mackay Memorial Hospital, Taipei, Taiwan.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Anastomosis, Surgical
Echocardiography*
Fatal Outcome
Female
Fetal Diseases / ultrasonography*
Heart Defects, Congenital / surgery,  ultrasonography*
Humans
Pregnancy
Pulmonary Circulation*
Pulmonary Veins / abnormalities*,  surgery
Ultrasonography, Prenatal*

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