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Ultrasound in Obstetrics & Gynecology :... Oct 2007To evaluate the spectrum of fetal cardiac defects associated with abnormal sonographic findings in the area behind the heart (ABTH) in the four-chamber view.
OBJECTIVE
To evaluate the spectrum of fetal cardiac defects associated with abnormal sonographic findings in the area behind the heart (ABTH) in the four-chamber view.
METHODS
This study included a retrospective review of 393 fetuses with congenital heart defects (CHD) detected in 2003-2005 at our tertiary referral center and a prospective evaluation of 4666 fetal echocardiograms, including 220 cases of CHD, performed between January 2006 and February 2007. The retrospective and prospective groups did not differ significantly with respect to cardiac anomalies or abnormal findings in the ABTH, allowing us to combine the 613 fetuses with CHD investigated over a 50-month period.
RESULTS
In the study period, 69 fetuses had abnormalities of the ABTH (75% with major CHD). In 28 fetuses, two equally sized vessels ran behind the heart. Of these, 26 had an interrupted inferior vena cava with azygos continuation and two had total anomalous infracardiac pulmonary venous connection. In 41 fetuses, only one vessel was visualized, but the descending thoracic aorta was positioned contralateral to the cardiac apex. Of these, 29 had levocardia with right descending aorta. All of them had a right aortic arch. The remaining 12 had dextrocardia with left descending aorta.
CONCLUSIONS
The ABTH in the four-chamber view is easy to evaluate and offers important diagnostic markers for fetal CHD. Thus, it might enhance the screening performance of the four-chamber view. Attention must be paid to the number of vessels behind the heart and their laterality.
Topics: Adult; Aorta, Thoracic; Echocardiography; Female; Fetal Heart; Heart Defects, Congenital; Humans; Pregnancy; Retrospective Studies; Sensitivity and Specificity; Ultrasonography, Prenatal
PubMed: 17899569
DOI: 10.1002/uog.5152 -
Multimedia Manual of Cardiothoracic... Jan 2011In the current era of anatomical correction of complete transposition of the great arteries, the Senning operation is reserved only for the atrial switch part of...
In the current era of anatomical correction of complete transposition of the great arteries, the Senning operation is reserved only for the atrial switch part of anatomical corrections of congenitally corrected transposition of the great arteries. These rare operations are performed in only a few centers all over the world; the majority of practicing cardiac surgeons therefore have limited experience with the Senning operation. The proposed modified Senning procedure might simplify the original concept. Once the technical aspect of the procedure is accomplished, the risk of systemic and pulmonary baffle obstructions is minimal, even in situs solitus with dextrocardia or situs inversus with levocardia. Furthermore, this technique has the potential to provide adequate capacity of the pulmonary venous atrium, to preserve optimal geometry of the mitral valve, to minimize damage of sinus node and to make the coronary sinus accessible for electrophysiological studies or intervention by keeping the coronary sinus in the systemic venous baffle. The modified technique is simple, highly reproducible and applicable, regardless of the situs and position of the apex of the heart.
PubMed: 24414198
DOI: 10.1510/mmcts.2009.004234 -
Medical Journal, Armed Forces India Apr 1994A case of isolated levocardia with situs inversus is reported. The child had a normally formed spleen, which is uncommon in such cases.
A case of isolated levocardia with situs inversus is reported. The child had a normally formed spleen, which is uncommon in such cases.
PubMed: 28769192
DOI: 10.1016/S0377-1237(17)31023-7 -
British Heart Journal Jun 1960
Topics: Dextrocardia; Genetic Diseases, X-Linked; Heart Defects, Congenital; Heterotaxy Syndrome; Humans; Levocardia; Medical Records; Situs Inversus
PubMed: 13855788
DOI: 10.1136/hrt.22.3.429 -
Journal of the American College of... Jul 1984A 2 year old boy with ventricular inversion and normal ventriculoarterial connection is described. Associated cardiac lesions included single atrium, absence of the...
A 2 year old boy with ventricular inversion and normal ventriculoarterial connection is described. Associated cardiac lesions included single atrium, absence of the coronary sinus, bilateral superior venae cavae, absence of the hepatic segment of the inferior vena cava with azygos and hemiazygos continuation, right aortic arch, levocardia and left atrial isomerism. At 5 days of age, the patient underwent a Waterston (aortopulmonary) anastomosis because of suspected pulmonary atresia. The correct diagnosis was established at 2 years of age and the patient had a successful Mustard operation (interatrial baffle procedure) and closure of the Waterston anastomosis. Accurate preoperative diagnosis is difficult in this rare cardiac anomaly and the reported mortality rate is high.
Topics: Cardiac Catheterization; Child, Preschool; Echocardiography; Electrocardiography; Heart Atria; Heart Defects, Congenital; Heart Ventricles; Humans; Male; Methods; Radiography
PubMed: 6736440
DOI: 10.1016/s0735-1097(84)80331-9 -
British Heart Journal Jan 1965
Topics: Angiocardiography; Child; Dextrocardia; Heart Defects, Congenital; Humans; Infant; Levocardia; Prognosis
PubMed: 14242166
DOI: 10.1136/hrt.27.1.69 -
Ultrasound in Obstetrics & Gynecology :... Mar 2001We describe a rare case of right atrial isomerism, levocardia, right-side stomach, obstructed supracardiac total anomalous pulmonary venous connection, double outlet...
We describe a rare case of right atrial isomerism, levocardia, right-side stomach, obstructed supracardiac total anomalous pulmonary venous connection, double outlet right ventricle with complete atrioventricular septal defect and absent spleen. From the pulmonary venous confluence behind the atrium an ascending as well as a descending vertical vein communicated with the systemic venous system in the supracardiac as well as the infracardiac position. The pulsed and color Doppler examination of the individual pulmonary veins as well as of the vertical vein helped in making the diagnosis of obstructed total anomalous pulmonary venous connection. The diagnosis was made by fetal echocardiographic examination at 22 weeks of gestation and confirmed on postnatal echocardiography, cardiac catheterization, and at surgery.
Topics: Abnormalities, Multiple; Adult; Ductus Arteriosus, Patent; Female; Fetal Diseases; Heart Atria; Humans; Isomerism; Pulmonary Veins; Spleen; Ultrasonography, Doppler, Color; Ultrasonography, Doppler, Pulsed; Ultrasonography, Prenatal
PubMed: 11309182
DOI: 10.1046/j.1469-0705.2001.00352.x -
British Heart Journal Oct 1953
Topics: Abdominal Cavity; Humans; Levocardia; Situs Inversus; Viscera
PubMed: 13093874
DOI: 10.1136/hrt.15.4.401 -
British Heart Journal Oct 1952
Topics: Cardiovascular Abnormalities; Cardiovascular System; Dextrocardia; Levocardia
PubMed: 12987527
DOI: 10.1136/hrt.14.4.481 -
British Heart Journal Aug 1976Aortic valve atresia is usually associated with severe hypoplasia of the left ventricle and mitral apparatus. Palliative procedures, including atrial septectomy,...
Aortic valve atresia is usually associated with severe hypoplasia of the left ventricle and mitral apparatus. Palliative procedures, including atrial septectomy, pulmonary artery-aorta anastomosis, and pulmonary artery banding, have been performed in some patients. However, because of the distinct underdevelopment of the left heart, the long-term prognosis must be guarded even in the survivors of these procedures. Rarely, aortic valve atresia is found with adequate left heart chambers. Because very few of these patients are described, the clinical, angiocardiographic, and the pathological findings in two patients are presented, with comments on palliation in the neonatal period, and the potential for ventriculoaortic reconstitution.
Topics: Aortic Valve; Cineangiography; Echocardiography; Electrocardiography; Female; Heart Defects, Congenital; Humans; Infant, Newborn; Levocardia; Male; Palliative Care; Prognosis
PubMed: 61758
DOI: 10.1136/hrt.38.8.821