Fetal echocardiography for diagnosis of aortopulmonary septal defect

doi:10.3877/cma.j.issn.1672-6448.2016.05.008

Abstract

Abstract:

Objective

To investigate the prenatal echocardiography manifestation of aortopulmonary septal defect (APSD) and clinical significance.

Methods

Imaging characteristics for 5 fetuses with APSD who underwent fetal echocardiography at our hospital from June 2013 to November 2015 were retrospectively reviewed. All cases were followed up for pregnancy process and clinical results.

Results

Echocardiographic characteristics of APSD were a defect between the ascending aorta and the trunk of the pulmonary artery in the three vessels view. The defect sizes were ranged from 1.5 to 3.9 mm. The defect location to semilunar valve and /or pulmonary artery bifurcation could be displayed in the left and right ventricular outflow tract views. Color and pulse Doppler showed bidirectional or pulmonary-to-aorta shunt flow pattern. All the five APSD cases were confirmed by autopsy.

Conclusions

APSD can be diagnosed by fetal echocardiography. Prenatal diagnosis is important for obstetrical management, early surgical intervention and prognosis.

Key words: Ultrasonography, prenatal, Echocardiography, Fetus, Aortopulmonary septal defect

Yan Xu, Tong Ru, Xiangyu Zhu, Xuecui Xu. Fetal echocardiography for diagnosis of aortopulmonary septal defect[J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2016, 13(05): 361-365.

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URL: https://chaosheng.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1672-6448.2016.05.008

https://chaosheng.cma-cmc.com.cn/EN/Y2016/V13/I05/361

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References 12

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例序	孕周（周）	孕妇年龄（岁）	胎儿超声心动图诊断	合并心外畸形	引产胎儿尸检结果
1	22^＋3	25	主肺动脉间隔缺损合并法洛四联症、主动脉瓣后增宽	无	均证实产前超声诊断正确
2^a	23^＋3	31	主肺动脉间隔缺损合并室间隔缺损、主动脉瓣后增宽	无	主肺动脉间隔缺损，室间隔缺损，主动脉瓣后扩张，房间隔缺损
3	25^＋1	31	主肺动脉间隔缺损合并主动脉瓣后增宽	小脑下蚓部缺失	均证实产前超声诊断正确
4	25^＋2	24	主肺动脉间隔缺损合并法洛四联症、主动脉瓣后增宽、永存左上腔静脉、心轴异常	左侧侧脑室后角增宽（11.4 mm），持续性右脐静脉	均证实产前超声诊断正确
5	28^＋2	22	主肺动脉间隔缺损合并室间隔缺损、主动脉弓离断	无	均证实产前超声诊断正确

例序	孕周（周）	孕妇年龄（岁）	胎儿超声心动图诊断	合并心外畸形	引产胎儿尸检结果
1	22^＋3	25	主肺动脉间隔缺损合并法洛四联症、主动脉瓣后增宽	无	均证实产前超声诊断正确
2^a	23^＋3	31	主肺动脉间隔缺损合并室间隔缺损、主动脉瓣后增宽	无	主肺动脉间隔缺损，室间隔缺损，主动脉瓣后扩张，房间隔缺损
3	25^＋1	31	主肺动脉间隔缺损合并主动脉瓣后增宽	小脑下蚓部缺失	均证实产前超声诊断正确
4	25^＋2	24	主肺动脉间隔缺损合并法洛四联症、主动脉瓣后增宽、永存左上腔静脉、心轴异常	左侧侧脑室后角增宽（11.4 mm），持续性右脐静脉	均证实产前超声诊断正确
5	28^＋2	22	主肺动脉间隔缺损合并室间隔缺损、主动脉弓离断	无	均证实产前超声诊断正确

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