Pulmonary Venous Anomalies

Brown, David W.

doi:10.1002/9781118742440.ch9

Echocardiography in Pediatric and Congenital Heart Disease 2016

DOI: 10.1002/9781118742440.ch9

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Pulmonary Venous Anomalies

David W. Brown¹

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Cited by 2 publications

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“…STIC and Doppler ultrasound could be used to visualize pulmonary venous flow in three dimensions, which aided accurate diagnosis in this case. The whale's tail sign adds to the canon of radiological signs 4,5 to assist the challenging prenatal diagnosis of this condition, as it indicates anomalous drainage of all pulmonary veins into the coronary sinus, with subsequent flow into the right atrium.…”

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Whale's tail sign in fetus with coronary sinus total anomalous pulmonary venous connection

Karmegaraj

2023

Ultrasound in Obstet & Gyne

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A 28-year-old primigravida was referred at 25 weeks' gestation for fetal cardiac evaluation. The four-chamber view showed significant ventricular disproportion due to right heart dilatation and a dilated coronary sinus (Figure 1a). The post-left atrial (LA) space index was 0.43 and the LA posterior-space-to-diagonal ratio was 0.18, of which both were below their respective cut-offs Figure 1 Imaging in fetus with coronary sinus (CS) total anomalous pulmonary venous connection at 25 weeks' gestation. (a) Grayscale ultrasound image in four-chamber view, showing significant ventricular disproportion due to right heart dilatation and dilated CS. (b-d) Color Doppler (b,c) and four-dimensional spatiotemporal image correlation with HD-live color silhouette selective-volume rendering (d) of three-vessel-and-trachea view (b) and transverse plane at level of left brachiocephalic vein (LBCV) (c,d) were normal. (e,f) Grayscale (e) and color Doppler (f) examination of four-chamber view, showing anomalous direct drainage of all pulmonary veins (PV) into dilated CS without a connecting vein, resembling whale's tail. (g) Spectral Doppler waveform of PV showing normal triphasic pattern.

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Whale's tail sign in fetus with coronary sinus total anomalous pulmonary venous connection

Karmegaraj

2023

Ultrasound in Obstet & Gyne

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A Sinister Presentation

Haering¹,

Rayner

Buber

et al. 2022

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Pulmonary Venous Anomalies

Cited by 2 publications

References 55 publications

Whale's tail sign in fetus with coronary sinus total anomalous pulmonary venous connection

Whale's tail sign in fetus with coronary sinus total anomalous pulmonary venous connection

A Sinister Presentation

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