Ebstein’s Anomaly of the Tricuspid Valve in Association with Tetralogy of Fallot and Absent Pulmonary Valve Syndrome

Abramian, Alina; Gembruch, Ulrich; Geipel, A.; Müller, Annette; Baier, Bernd; Berg, Christoph

doi:10.1159/000329304

Cited by 10 publications

(8 citation statements)

References 10 publications

(5 reference statements)

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“…This anomaly has been scarcely seen in the prenatal setting, mainly because of its rarity and its differential diagnosis with a simple right aortic arch with an aberrant left subclavian artery 43 , 44 . The association with congenital heart disease is common, and it can be responsible for compressive symptoms 45 …”

Section: Aortic Arch Anomalies With 3 Vessels In the 3‐vessel And Tramentioning

confidence: 99%

Fetal Aortic Arch Anomalies

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Gámez

Pérez

et al. 2015

J of Ultrasound Medicine

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Aortic arch anomalies are present in 1% to 2% of the general population and are commonly associated with congenital heart disease, chromosomal defects, and tracheaesophageal compression in postnatal life. The sonographically based detection of aortic arch anomalies lies in the 3-vessel and trachea view. Although highly sensitive, this view alone does not allow identification of the aortic arch branching pattern, which prevents an accurate diagnosis. The systematic addition of a subclavian artery view as part of a standardized procedure may be useful in the differential diagnosis of these conditions. We describe the sonographic assessment of fetal aortic arch anomalies by combining 2 fetal transverse views: the 3-vessel and trachea view and the subclavian artery view, which are included in the cardiovascular system sonographic evaluation protocol. We also review the sonographic findings and the clinical implications of fetal aortic arch anomalies.

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Section: Aortic Arch Anomalies With 3 Vessels In the 3‐vessel And Tramentioning

confidence: 99%

Fetal Aortic Arch Anomalies

Bravo

Gámez

Pérez

et al. 2015

J of Ultrasound Medicine

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“…Five cases in this series have been included in previously published case reports 21,22 and a case series on reversed end-diastolic flow in the UA in the first trimester 15 .…”

Section: Methodsmentioning

confidence: 99%

Prenatal diagnosis of absent pulmonary valve syndrome from first trimester onwards: novel insights into pathophysiology, associated conditions and outcome

Gottschalk

Jehle

Herberg

et al. 2017

Ultrasound in Obstet & Gyne

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“…14 cases of this series have been previously published in a case report [21] and as part of a cohort of fetuses with obstructive lesions of the right heart [22].…”

Section: Methodsmentioning

confidence: 99%

Ebstein’s Anomaly of the Tricuspid Valve in the Fetus – A Multicenter Experience

Gottschalk

Stressig

et al. 2016

Ultraschall in Med

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To assess the spectrum of associated anomalies, the intrauterine course, the outcome and possible prognostic markers in prenatally diagnosed Ebstein's anomaly (EA). All cases of EA diagnosed over a period of 13 years with a minimum follow-up of 1 year were retrospectively collected in 4 tertiary referral centers in Germany. In the study period 76 cases of EA were prenatally diagnosed. The mean gestational age at diagnosis was 25.0 weeks (range: 13 - 35). 41 (53.9 %) cases were isolated and 35 (46.1 %) had other cardiac and/or extracardiac anomalies. 19 (25.0 %) pregnant women opted for termination of pregnancy, intrauterine fetal death occurred in 7 cases (9.2 %), neonatal death in 14 cases (18.4 %), death in infancy or childhood in 9 cases (11.8 %) and 27 children (35.5 %) were alive at the last follow-up. After exclusion of terminations, the only parameter inversely correlated with intrauterine survival was hydrops fetalis. Prognostic parameters significantly associated with postnatal non-survival were an abnormal Celermajer index (right atrium/heart ratio > 0.7), cardiomegaly (cardiothoracic circumference ratio > 0.5), absence of antegrade flow over the pulmonary valve and earlier diagnosis in pregnancy. Prenatally diagnosed EA has a high morbidity and mortality with the highest loss rate in the intrauterine and neonatal period. In our study, hydrops fetalis was the only parameter significantly associated with intrauterine demise, while other prenatal markers were only significantly associated with postnatal mortality.

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Ebstein’s Anomaly of the Tricuspid Valve in Association with Tetralogy of Fallot and Absent Pulmonary Valve Syndrome

Cited by 10 publications

References 10 publications

Fetal Aortic Arch Anomalies

Fetal Aortic Arch Anomalies

Prenatal diagnosis of absent pulmonary valve syndrome from first trimester onwards: novel insights into pathophysiology, associated conditions and outcome

Ebstein’s Anomaly of the Tricuspid Valve in the Fetus – A Multicenter Experience

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