Absent Pulmonary Valve Syndrome with Left Hemitruncus

Absent pulmonary valve syndrome (APVS) is a rare congenital heart defect, usually associated with tetralogy of Fallot (TOF), although other associations have been described. A pregnant woman was referred to fetal echocardiography clinic from the Maternal Fetal Medicine department due to abnormal fin...

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Main Authors: Ashraf M. Aly, Deborah A. Reid, Amyn K. Jiwani, Pooja H. Desai
Format: Article
Language:English
Published: Thieme Medical Publishers, Inc. 2012-11-01
Series:American Journal of Perinatology Reports
Subjects:
Online Access:https://www.thieme-connect.de/products/ejournals/html/10.1055/s-0032-1316464
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author Ashraf M. Aly
Deborah A. Reid
Amyn K. Jiwani
Pooja H. Desai
author_facet Ashraf M. Aly
Deborah A. Reid
Amyn K. Jiwani
Pooja H. Desai
author_sort Ashraf M. Aly
collection DOAJ
description Absent pulmonary valve syndrome (APVS) is a rare congenital heart defect, usually associated with tetralogy of Fallot (TOF), although other associations have been described. A pregnant woman was referred to fetal echocardiography clinic from the Maternal Fetal Medicine department due to abnormal findings on routine antenatal ultrasound, showing a pulsatile cystic mass above the left atrium and a suspected TOF. A fetal echocardiogram confirmed the presence of TOF/APVS. The pulsatile cystic mass was the aneurysmally dilated main pulmonary artery. The exact origin of the left pulmonary artery (LPA) was not clearly established prenatally. A postnatal echocardiogram of the neonate showed an abnormal origin of the LPA from the ascending aorta (hemitruncus). The neonate subsequently underwent surgical repair with a good outcome. We present a novel case of a TOF/APVS associated with an abnormal origin of the LPA from the ascending aorta.
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spelling doaj.art-5b5fe99afa88464489542ea502d7f4942022-12-22T00:00:30ZengThieme Medical Publishers, Inc.American Journal of Perinatology Reports2157-69982157-70052012-11-01020105105410.1055/s-0032-1316464Absent Pulmonary Valve Syndrome with Left HemitruncusAshraf M. Aly0Deborah A. Reid1Amyn K. Jiwani2Pooja H. Desai3University of Texas Medical Branch-GalvestonUniversity of Texas Medical Branch-GalvestonUniversity of Texas Medical Branch-GalvestonUniversity of Texas Medical Branch-GalvestonAbsent pulmonary valve syndrome (APVS) is a rare congenital heart defect, usually associated with tetralogy of Fallot (TOF), although other associations have been described. A pregnant woman was referred to fetal echocardiography clinic from the Maternal Fetal Medicine department due to abnormal findings on routine antenatal ultrasound, showing a pulsatile cystic mass above the left atrium and a suspected TOF. A fetal echocardiogram confirmed the presence of TOF/APVS. The pulsatile cystic mass was the aneurysmally dilated main pulmonary artery. The exact origin of the left pulmonary artery (LPA) was not clearly established prenatally. A postnatal echocardiogram of the neonate showed an abnormal origin of the LPA from the ascending aorta (hemitruncus). The neonate subsequently underwent surgical repair with a good outcome. We present a novel case of a TOF/APVS associated with an abnormal origin of the LPA from the ascending aorta.https://www.thieme-connect.de/products/ejournals/html/10.1055/s-0032-1316464tetralogy of Fallotabsent pulmonary valveleft hemitruncusfetal echocardiography
spellingShingle Ashraf M. Aly
Deborah A. Reid
Amyn K. Jiwani
Pooja H. Desai
Absent Pulmonary Valve Syndrome with Left Hemitruncus
American Journal of Perinatology Reports
tetralogy of Fallot
absent pulmonary valve
left hemitruncus
fetal echocardiography
title Absent Pulmonary Valve Syndrome with Left Hemitruncus
title_full Absent Pulmonary Valve Syndrome with Left Hemitruncus
title_fullStr Absent Pulmonary Valve Syndrome with Left Hemitruncus
title_full_unstemmed Absent Pulmonary Valve Syndrome with Left Hemitruncus
title_short Absent Pulmonary Valve Syndrome with Left Hemitruncus
title_sort absent pulmonary valve syndrome with left hemitruncus
topic tetralogy of Fallot
absent pulmonary valve
left hemitruncus
fetal echocardiography
url https://www.thieme-connect.de/products/ejournals/html/10.1055/s-0032-1316464
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AT poojahdesai absentpulmonaryvalvesyndromewithlefthemitruncus