2004
DOI: 10.7863/jum.2004.23.3.417
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Prenatal Diagnosis of Absent Pulmonary Valve Syndrome in Association With 22q11 Deletion

Abstract: An abnormal 4-chamber view with an aneurysmal dilatation of the pulmonary trunk should suggest the diagnosis of this rare congenital anomaly. Perinatal death occurs in more than 60% of cases and is usually associated with hydrops fetalis, the presence of other malformations, or both. Even in the absence of extracardiac malformations, investigation for 22q11 deletion in cases of conotruncal cardiac abnormalities is recommended.

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Cited by 17 publications
(13 citation statements)
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References 14 publications
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“…Comparing infants with VCFS and CHD to those with Down syndrome, other genetic syndromes, and nonsyndromic cases of CHD, the highest mortality rate was seen in children with VCFS. Heart anomalies have also played a role in prenatal diagnosis [45]. The increased application of high-level ultrasonic examinations of the fetus will undoubtedly increase the number of prenatal detections of VCFS, necessitating obstetricians to know the phenotypic spectrum of VCFS so that FISH can be applied when appropriate.…”
Section: Heart Anomaliesmentioning
confidence: 99%
“…Comparing infants with VCFS and CHD to those with Down syndrome, other genetic syndromes, and nonsyndromic cases of CHD, the highest mortality rate was seen in children with VCFS. Heart anomalies have also played a role in prenatal diagnosis [45]. The increased application of high-level ultrasonic examinations of the fetus will undoubtedly increase the number of prenatal detections of VCFS, necessitating obstetricians to know the phenotypic spectrum of VCFS so that FISH can be applied when appropriate.…”
Section: Heart Anomaliesmentioning
confidence: 99%
“…In utero progressive enlargement of the central pulmonary arteries may also provide an explanation for the commonly observed late prenatal diagnosis of fetuses with APVS. Most case reports and the majority of the cases reported in fetal series, including ours, have been diagnosed after 22 weeks' gestation and almost all of them had a scan performed previously at 20–22 weeks4–8, 11. It is well known that the four‐chamber anatomy may seem absolutely normal in many conotruncal malformations26.…”
Section: Discussionmentioning
confidence: 80%
“…It is almost always associated with a massive enlargement of the pulmonary trunk and its branches1, 2. APVS has been described as an isolated anomaly3–5, but it is usually associated with tetralogy of Fallot (TOF)4–8. The absence of the ductus arteriosus is also a common but not a consistent feature of this syndrome9, 10.…”
Section: Introductionmentioning
confidence: 99%
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