Systematic review and meta‐analysis of persistent left superior vena cava on prenatal ultrasound: associated anomalies, diagnostic accuracy and postnatal outcome

Gustapane, Sarah; Leombroni, Martina; Khalil, Asma; Giacci, Francesco; Marrone, Luisa; Bascietto, F.; Rizzo, Giuseppe; Acharya, Ganesh; Liberati, Marco; D’Antonio, Francesco

doi:10.1002/uog.15914

Cited by 59 publications

(83 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…PLSVC draining into the right atrium via the coronary sinus was also a prominent cause for right dominant ventricle in our cases. Approximately half of associated cardiac anomalies were found postnatally in the eight cases with PLSVC, which is similar to previous findings …”

Section: Discussionsupporting

confidence: 91%

Neonatal outcome of cases with isolated prenatal ventricular disproportion with a dominant right ventricle

et al. 2019

View full text Add to dashboard Cite

Objectives Isolated prenatal ventricular disproportion with a dominant right ventricle represents a challenge in decision‐making for both physicians and pregnant women. In the current study, we sought to delineate the postnatal outcomes of these cases. Methods This retrospective analysis included consecutive cases of isolated ventricular disproportion identified using complete fetal echocardiography at the Fetal Heart Center of Xinhua Hospital from January 2014 to October 2017. Postnatal cardiac outcome was examined using transthoracic echocardiography within the first 6 months after birth. Results A total of 90 fetuses were included in the final analysis. The median gestational age (GA) at diagnosis was 29 weeks (range 24 to 36). At postnatal examination, cardiac malformations were detected in 39 cases (43.3%), including 25 (27.8%) cases of congenital cardiac septal defects, eight (8.9%) of persistent left superior vena cava, four (4.4%) of left‐sided obstructive diseases, and one (1.1%) case of coronary fistula. Nineteen cases (21.1%) with fetal cardiac malformations had significant lower GA at diagnosis (P = .01) and greater right to left ventricle ratio (1.38 vs 1.30, P = .02). Neonatal surgical intervention was not required in any of the cases. Conclusions Isolated prenatal ventricular disproportion with a dominant right ventricle comprises minor postnatal cardiac malformations and doesn't require neonatal intervention.

show abstract

Section: Discussionsupporting

confidence: 91%

Neonatal outcome of cases with isolated prenatal ventricular disproportion with a dominant right ventricle

et al. 2019

View full text Add to dashboard Cite

show abstract

“…A la octava semana se conectan mediante una anastomosis oblicua (vena braquiocefálica izquierda o innominada) y luego la parte de la vena cardinal anterior izquierda, que se sitúa por debajo de esta anastomosis, involuciona (1,4) . Mientras que las venas cardinales anteriores y comunes forman la VCSD, la VC-SIP puede atribuirse a la falta de involución de la porción proximal de la vena cardinal anterior izquierda.…”

Section: Discussionunclassified

“…Esta drena en la aurícula derecha en 92% de los casos y en el resto de los casos drena directamente en la aurícula izquierda, entre el apéndice auricular izquierdo y las venas pulmonares. En 65% de los casos, la vena innominada está ausente o es pequeña (2)(3)(4)(5) .…”

Section: Discussionunclassified

See 1 more Smart Citation

Vena cava superior izquierda persistente. Reporte de caso

Rondón-Tapia

Vargas-García

2018

Rev peru ginecol obstet.

View full text Add to dashboard Cite

Declaración de aspectos éticosReconocimiento de autoría: Todos los autores declaramos que han realizado aportes a la idea, diseño del estudio, recolección de datos, análisis e interpretación de datos, revisión crítica del contenido intelectual y aprobación final del manuscrito que estamos enviando.Responsabilidades éticas: Protección de personas. Los autores declaramos que los procedimientos seguidos se conformaron a las normas éticas del comité de experimentación humana responsable y de acuerdo con la Asociación Médica Mundial y la Declaración de Helsinki. Confidencialidad de los datos:Los autores declaramos que han seguido los protocolos del Hospital Central "Dr. Urquinaona" sobre la publicación de datos de pacientes.Derecho a la privacidad y consentimiento informado: Los autores hemos obtenido el consentimiento informado de los pacientes y/o sujetos referidos en el artículo. Este documento obra en poder del autor de correspondencia.Financiamiento: Los autores certificamos que no han recibido apoyos financieros, equipos, en personal de trabajo o en especie de personas, instituciones públicas y/o privadas para la realización del estudio, Conflicto de intereses: Los autores RESUMENLa vena cava superior izquierda persistente es la anomalía venosa congénita más frecuente; se observa en 0,3 a 0,5% de la población general y 4 a 8% de los casos con cardiopatía congénita. El resultado perinatal es significativamente peor si se asocia con defectos cardiacos y el pronóstico es excelente en casos aislados. Se presenta un caso de vena cava superior izquierda persistente diagnosticado en un feto a las 30 semanas en una paciente de 21 años de edad referida para evaluación ecocardiográfica fetal prenatal. Durante la visualización de los tres vasos, se observó la presencia de una estructura circular vascular supernumeraria a la izquierda de la arteria pulmonar y que se extendía hasta llegar a la pared lateral de la aurícula izquierda, compatible con vena cava superior izquierda persistente. No se encontraron otras anomalías cardiacas. El embarazo fue sin complicaciones y se obtuvo recién nacido sano a término sin ninguna complicación. La ecocardiografía posnatal confirmó el diagnóstico. No fue necesaria ninguna intervención. Palabras clave. Vena cava superior izquierda persistente; Diagnóstico prenatal; Anomalía congénita. ABSTRACTPersistent left superior vena cava is the most frequent congenital venous anomaly, observed in 0.3-0.5% of the general population and in 4-8% of patients with congenital heart disease. The perinatal outcome is significantly worse if it is associated with cardiac defects and the prognosis is excellent in isolated cases. We report a case of persistent left superior vena cava diagnosed in a 30-week fetus in a 21-year-old female patient referred for prenatal fetal echocardiographic evaluation. During the visualization of the three vessels, a supernumerary circular vascular structure was observed to the left of the pulmonary artery, extending into the lateral wall of the left atrium, consistent with per...

show abstract

“…Persistent left superior vena cava (SVC) or bilateral SVC is the most common anatomical variant in the thoracic venous system . In the general population, the estimated prevalence ranges between 0.3% and 0.5%, whereas the association in patients with congenital heart disease is higher and between 4% and 8% . More than one in five newborns (21.3%) diagnosed with coarctation of the aorta present with bilateral SVC .…”

Section: Introductionmentioning

confidence: 99%

The gap between the aorta and the superior vena cava: A sonographic sign of persistent left superior vena cava and associated abnormalities

Wertaschnigg

Rolnik

Ramkrishna³

et al. 2019

Prenatal Diagnosis

View full text Add to dashboard Cite

Objectives To assess the distance between the right superior vena cava (SVC) and the aorta in fetuses with bilateral superior vena cava as a possible sonographic marker for this. Methods This was a nested case‐control study including 20 cases of bilateral SVC and 40 gestational age‐matched controls. The distance between the right SVC and the aorta was measured at the level of the three‐vessel trachea view in stored images, as well as the diameters of the aorta and the right SVC. Results The distance between the aorta and the right SVC was significantly larger in the cases of a left SVC compared with controls, P < .001. A distance of 2.0 mm or more was found in 70% of the cases and 5% of the controls, with a gestational‐age adjusted area under the receiver‐operating characteristics (ROC) curve for the diagnosis of left SVC of 0.93 (95% CI 0.87‐0.99). The aorta and the right SVC were significantly smaller in cases compared with controls, and there was a significant association with other cardiac and extracardiac abnormalities amongst cases of persistent left SVC. Conclusion An increased distance between the aorta and the right SVC is associated with the diagnosis of bilateral SVC.

show abstract

Systematic review and meta‐analysis of persistent left superior vena cava on prenatal ultrasound: associated anomalies, diagnostic accuracy and postnatal outcome

Abstract: Objectives

Cited by 59 publications

References 37 publications

Neonatal outcome of cases with isolated prenatal ventricular disproportion with a dominant right ventricle

Neonatal outcome of cases with isolated prenatal ventricular disproportion with a dominant right ventricle

Vena cava superior izquierda persistente. Reporte de caso

The gap between the aorta and the superior vena cava: A sonographic sign of persistent left superior vena cava and associated abnormalities

Contact Info

Product

Resources

About