Fetal case of right atrial isomerism with infracardiac total anomalous pulmonary venous connection and agenesis of the ductus venosus.
agenesis of ductus venosus
ductus venosus
hepatic sinusoid
infracardiac total anomalous pulmonary venous connection
pulmonary venous obstruction
Journal
The journal of obstetrics and gynaecology research
ISSN: 1447-0756
Titre abrégé: J Obstet Gynaecol Res
Pays: Australia
ID NLM: 9612761
Informations de publication
Date de publication:
Nov 2019
Nov 2019
Historique:
received:
01
03
2019
accepted:
20
07
2019
pubmed:
10
8
2019
medline:
1
4
2020
entrez:
10
8
2019
Statut:
ppublish
Résumé
After birth, the ductus venosus becomes an important route connecting the pulmonary and systemic venous systems for survival in infracardiac total anomalous pulmonary venous connection. We encountered a fetal case of right atrial isomerism with infracardiac total anomalous pulmonary venous connection and agenesis of ductus venosus. Prenatal echocardiography suggested that the fetus had severe pulmonary venous obstruction; however, no obstructive lesions were detected at the level of the vertical vein that drained into the portal veins. Therefore, we concluded that emergency surgical pulmonary venous obstruction release was the only way for the fetus to survive. However, the saturation level was maintained above 70% due to the abundant communications via the hepatic sinusoid over 1 week after birth. In conclusion, hepatic sinusoids can be a sufficient route for pulmonary venous return and may not cause severe pulmonary venous obstruction in infracardiac total anomalous pulmonary venous connection with agenesis of ductus venosus.
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
2275-2279Informations de copyright
© 2019 Japan Society of Obstetrics and Gynecology.
Références
Shi G, Zhu Z, Chen J et al. Total anomalous pulmonary venous connection: The current management strategies in a pediatric cohort of 768 patients. Circulation 2017; 135: 48-58.
St. Louis JD, Harvey BA, Menk JS et al. Repair of “simple” total anomalous pulmonary venous connection: A review from the Pediatric Cardiac Care Consortium. Ann Thorac Surg 2012; 94: 133-137.
Sinzobahamvya N, Arenz C, Reckers J et al. Poor outcome for patients with totally anomalous pulmonary venous connection and functionally single ventricle. Cardiol Young 2009; 19: 594-600.
Hoashi T, Kagisaki K, Oda T et al. Long-term results of treatments for functional single ventricle associated with extracardiac type total anomalous pulmonary venous connection. Eur J Cardiothorac Surg 2013; 43: 965-970.
Moaddab A, Tonni G, Grisolia G et al. Predicting outcome in 259 fetuses with agenesis of ductus venosus-A multicenter experience and systematic review of the literature. J Matern Fetal Neonatal Med 2016; 29: 3606-3614.
Lucas RV Jr, Krabill KA. Abnormal systemic venous connections. In: Emmanouilides GC, Reimenschneide TA, Allen HD (eds). Heart Disease in Infants, Children, and Adolescents, 5th edn. Baltimore, MD: Williams & Wilkins, 1995; 874-902.
Berg C, Kamil D, Geipel A et al. Absence of ductus venosus-Importance of umbilical venous drainage site. Ultrasound Obstet Gynecol 2006; 28: 275-281.
Garcia-Delgado R, Garcia-Rodriguez R, Romero Requejo A et al. Echographic features and perinatal outcomes in fetuses with congenital absence of ductus venosus. Acta Obstet Gynecol Scand 2017; 96: 1205-1213.
Brown DW, Geva T. Anomalies of the pulmonary veins. In: Allen HD, Shaddy RE, Penny DJ, Feltes TF, Cetta F (eds). Heart Disease in Infants, Children, and Adolescents, 9th edn. Philadelphia, PA: Wolters Kluwer, 2016; 811-910.
Acherman RJ, Evans WN, Galindo A et al. Diagnosis of absent ductus venosus in a population referred for fetal echocardiography: Association with a persistent portosystemic shunt requiring postnatal device occlusion. J Ultrasound Med 2007; 26: 1077-1082.
Kitano M, Yazaki S, Kagisaki K, Kurosaki K. Primary palliative stenting against obstructive mixed-type total anomalous pulmonary venous connection associated with right atrial isomerism. J Interv Cardiol 2009; 22: 404-409.
Burkhardt BE, Stiller B, Grohmann J. Stenting of the obstructed ductus venosus as emergency and bridging strategy in a very low birth weight infant with infradiaphragmatic total anomalous pulmonary venous connection. Catheter Cardiovasc Interv 2014; 84: 820-823.