The diagnosis of Berry syndrome by prenatal echocardiography and postmortem pathology

doi:10.3877/cma.j.issn.1672-6448.2016.11.011

Abstract

Abstract:

Objective

To investigate the prenatal features of Berry syndrome by fetal echocardiography and pathological anatomy.

Methods

In this study, three cases were identified as Berry syndrome by fetal echocardiography from August 2012 to October 2015 in our hospital. Echocardiographic characteristics of Berry syndrome were compared with autopsy findings.

Results

Three cases suggested the presence of coarctation in one case and interruption in two cases from the aortic isthmus in three vessels and trachea view (3VT). The most typical findings were aorta-pulmonary distal septal defect, aortic origin from right pulmonary artery and main pulmonary artery origin from left pulmonary artery in three vessels and pulmonary arterial branches view (3VP). The 3VT suggested the presence of interruption or coarctation of the aortic isthmus. Three cases showed that the ascending aorta, main pulmonary artery, left pulmonary artery, and right pulmonary artery were present as a vascular complex and were ram horn-shaped in 3VP. Color Doppler showed the ascending aorta to the main pulmonary artery shunt across the aorto-pulmonary window. Two cases (2/3) were confirmed by autopsy examinations, one case refused pathological autopsy.

Conclusions

The fetal Berry syndrome can be prenatally diagnosed by showing the characteristics in 3VP and 3VT.

Key words: Echocardiography, Fetus, Heart defects, congenital, Berry syndrome

Shuihua Yang, Xiaoxian Tian, Xinyan Li, Yuanyuan Li, Zuojian Yang, Juansong Tang, Mei Chen. The diagnosis of Berry syndrome by prenatal echocardiography and postmortem pathology[J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2016, 13(11): 849-854.

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URL: https://chaosheng.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1672-6448.2016.11.011

https://chaosheng.cma-cmc.com.cn/EN/Y2016/V13/I11/849

Figures/Tables 3

References 15

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