Levoatrial cardinal vein in mitral atresia and closed foramen ovale: prenatal diagnosis and perinatal management

Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology
B Tutschek, K G Schmidt

Abstract

A levoatrial cardinal vein is a rare cardiovascular anomaly that may be present in malformed hearts with severe left heart obstruction and restrictive interatrial communication. We report the prenatal diagnosis at 23 weeks of a fetus with mitral atresia, double-outlet right ventricle, premature closure of the foramen ovale and a levoatrial cardinal vein draining into the innominate vein. In a prior examination performed elsewhere the levoatrial cardinal vein had been interpreted as an aortic arch perfused retrogradely, and hypoplastic left heart syndrome with aortic atresia had been diagnosed. Prenatal management, induction at 38 weeks and postnatal examinations and treatment are reported. To the best of our knowledge, this is the first reported prenatal diagnosis of this embryological vessel, presenting a potential pitfall for prenatal echocardiography.

References

Nov 1, 1996·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·L D AllanA C Cook
Jun 24, 2006·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·P VolpeM Gentile
Jan 4, 2007·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·S YagelD V Valsky

Citations

Jul 28, 2016·Pediatrics International : Official Journal of the Japan Pediatric Society·Taiyu HayashiHiroshi Ono
Feb 15, 2012·Fetal and Pediatric Pathology·Larissa V FurtadoJohn M Opitz

Related Concepts

Genetic Counseling, Prenatal
Congenital Heart Defects
Mitral Valve
Antenatal Screening Procedures
Fetal Ultrasonography
Hypoplastic Left Heart Syndrome
Perfusion Magnetic Resonance Imaging
Cardiac Foramen Ovale
Aortic Arch Structure
Structure of Brachiocephalic Vein

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