The prenatal diagnosis of aortopulmonary window by fetal echocardiography

Yu, Sangjie; Han, Jiancheng; Gao, Shuang; Liu, Xiaowei; Gu, Xiaoyan; Zhang, Ye; Sun, Lin; He, Yihua

doi:10.1111/echo.14131

Cited by 8 publications

(6 citation statements)

References 15 publications

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“…Since this complex congenital anomaly has a very variable anatomical and clinical spectrum, early diagnosis can provide patients with a timely and effective perinatal treatment plan. These outcomes are consistent with previous studies describing 9,10,11 the high detection rate of other congenital complex diseases with prenatal ultrasound, indicating that echocardiography is worth pursuing in clinical practice.…”

Section: Discussionsupporting

confidence: 91%

Echocardiographic Characteristics and Prognosis of the Fetuses with Ebstein Anomaly in Pregnancy

Zhang

et al. 2020

Preprint

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Objective: This study aimed to describe the fetal echocardiographic features of Ebstein anomaly (EA) and evaluate the prognosis of those fetuses.Methods: We retrospectively reviewed the clinical records of 53 fetuses with EA. They were enrolled from January 2011 to December 2018 in Beijing Anzhen Hospital and analyzed the fetuses' ultrasonic features and prognosis. Results: In this single-institutional study, we screened 53 fetuses during 23~39 weeks of gestation with EA. In these fetuses, patients with complications accounted for a more significant percentage (69.81%). Ultrasound imaging showed that the posterior lobe shifted down further than the septal leaflets, and the anterior lobe changed less than 50%. Severe tricuspid valve (TV) regurgitation showed the highest proportion in these fetuses (56.60%). Among the enrolled fetuses, 20 cases were classified into grade -Ⅱ, 40 cases (75.47%) were inducted, and 13 cases (24.5%) were continued pregnancy. However, only one of those fetuses successful delivery. Conclusion: Echocardiography has become an essential diagnostic tool in identifying fetuses with EA. The prognosis of the fetuses with EA is relatively low in our center. Therefore, understanding the echocardiographic characteristics and the prognosis of the fetuses with EA is of great value for pregnancy consultations during the perinatal period.

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Section: Discussionsupporting

confidence: 91%

Echocardiographic Characteristics and Prognosis of the Fetuses with Ebstein Anomaly in Pregnancy

Zhang

et al. 2020

Preprint

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“…Only isolated cases of APW in association with TOF have been described in the literature [8][9][10][11][12][13][14]. Just 40 cases of APW have been detected prenatally, and among them, the combination with TOF was described in only 2 articles (Table 1) [15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34].…”

Section: Discussionmentioning

confidence: 99%

A case of aortopulmonary window mimicking common arterial trunk on fetal echocardiography

Wiecheć,

Nocuń,

Merta

et al. 2023

pcard

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Aortopulmonary window (APW) is a rare congenital cardiac anomaly characterised by abnormal communication between the aorta and the pulmonary trunk in the presence of separately formed semilunar valves. We present a case that was initially diagnosed in prenatal life at 21 weeks as common arterial trunk. Follow-up scans starting from 31 weeks revealed APW type I in the setting of tetralogy of Fallot (S, D, S) with a right-sided aortic arch with wide interatrial communication. The neonate was born at 38 weeks of gestation by caesarean section; its birth weight was 2825 g. The postnatal echocardiogram confirmed the prenatal diagnosis provided later in gestation. Three weeks after birth, the child was scheduled for surgery: complete repair and APW closure using an autologous pericardial patch, excision of trabeculae in the right ventricular outflow tract (RVOT), transannular reconstruction below the RVOT, reconstruction of the RVOT, and partial ASD closure. The child was discharged from the hospital, weighing 3300 g, with 97% saturation. APW may remain undiagnosed until adulthood. A late diagnosis may result in congestive heart failure and irreversible damage to the pulmonary vessels. Early detection of APW, preferably in the prenatal period, remains the key issue in terms of this condition.

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“…AO PA LPA RPA Hepatic congestion and hepatomegaly are developed in proportion to the degree of heart failure. Failure to thrive is concomitant with the degree of heart failure [8,15]. Chest x-ray films reveal cardiomegaly and increased pulmonary vascular markings consistent with increased pulmonary blood flow.…”

Section: Discussionmentioning

confidence: 99%

Aorto-pulmonary Window, a Rare Congenital Heart Disease: Case Report

Lakhrissi¹,

Anass²,

Kmari³

et al. 2021

AJPR

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Aortopulmonary window (APW) is an uncommon congenital cardiac malformation, accounting for 0.1% of all congenital cardiac diseases. It is a defect between the ascending aorta and the trunk of the pulmonary artery. Such abnormality may occur as an isolated lesion or it can be associated with other cardiac abnormalities in one third to one half of cases. Clinical and hemodynamic presentation of this condition depends on the size of the defect and on the associated lesions. It is usually fatal in infancy or childhood if untreated with the development of irreversible pulmonary hypertension. Once the diagnosis is made, surgery must be performed quickly to avoid irreversible pulmonary vascular disease. We report the case of a 5-month-old infant with APW who was referred to our center by respiratory symptoms and heart murmurs.

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The prenatal diagnosis of aortopulmonary window by fetal echocardiography

Abstract: Prenatal diagnosis of APW is feasible, which is helpful during prenatal consultations, so that parents can make better decisions regarding postpartum treatment options and pregnancy outcomes.

Cited by 8 publications

References 15 publications

Echocardiographic Characteristics and Prognosis of the Fetuses with Ebstein Anomaly in Pregnancy

Echocardiographic Characteristics and Prognosis of the Fetuses with Ebstein Anomaly in Pregnancy

A case of aortopulmonary window mimicking common arterial trunk on fetal echocardiography

Aorto-pulmonary Window, a Rare Congenital Heart Disease: Case Report

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