Totally anomalous pulmonary venous connection and complex congenital heart disease - Prenatal echocardiographic diagnosis and prognosis

Title

Totally anomalous pulmonary venous connection and complex congenital heart disease - Prenatal echocardiographic diagnosis and prognosis

Creator

Patel C R; Lane J R; Spector M L; Smith P C; Crane S S

Publisher

Journal of Ultrasound in Medicine

Date

2005
2005-09

Description

Objective. The purpose of this study was to determine the accuracy of prenatal cardiac diagnosis, prognosis, and outcome of totally anomalous pulmonary venous connection (TAPVC) and to determine echocardiographic clues in the prenatal diagnosis of isolated TAPVC or TAPVC in association with other complex congenital heart disease (CHD). Methods. We reviewed our 13-year experience of prenatal diagnosis of TAPVC. Thirteen fetuses were identified with the diagnoses of TAPVC. We systematically analyzed the individual pulmonary veins by color and pulsed Doppler imaging, the presence of a pulmonary venous confluence, the pulsed and color Doppler evaluation of the vertical vein, and sites of connections. Prenatal diagnosis was confirmed by postnatal echocardiography, cardiac catheterization, surgery, or autopsy. Results. The mean gestational age at diagnosis of TAPVC was 26.3 weeks (range, 20-33 weeks). There were 8 fetuses with TAPVC and right isomerism, 3 fetuses with other associated CHD, and 2 with isolated TAPVC. There were 7 fetuses with supracardiac TAPVC, 4 with infracardiac TAPVC, and 2 with mixed TAPVC. Pulmonary vein color and pulsed Doppler data were available in 10 of 13 fetuses. The pulmonary venous confluence was visualized in all fetuses except 1. The vertical vein was visualized in all fetuses. Five fetuses had suspected signs of obstruction. The diagnosis was confirmed postnatally or at autopsy in 12 cases. Eight patients underwent surgery; 6 died, and 2 were alive. Two patients had compassionate care and died; 3 pregnancies were terminated. Conclusions. It is possible to diagnose accurately complex CHD, including the pulmonary venous connections. When diagnosed prenatally, TAPVC carries a poor prognosis.

Subject

Acoustics; anomalous pulmonary venous connections; blood-flow; congenital heart diseases; fetal echocardiography; fetus; heterotaxy syndrome; Nuclear Medicine & Medical Imaging; pregnancy; prenatal diagnosis; Radiology; right isomerism; totally

Format

Journal Article

Search for Full-text

Users with a NEOMED Library login can search for full-text journal articles at the following url: https://libraryguides.neomed.edu/home

Rights

Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).

Pages

1191-1198

Issue

9

Volume

24

Citation

Patel C R; Lane J R; Spector M L; Smith P C; Crane S S, “Totally anomalous pulmonary venous connection and complex congenital heart disease - Prenatal echocardiographic diagnosis and prognosis,” NEOMED Bibliography Database, accessed July 26, 2021, https://neomed.omeka.net/items/show/6737.

Social Bookmarking