An extremely rare case of prenatally diagnosed absent both aortic and pulmonary valves.
10.5468/ogs.2016.59.5.393
- Author:
Hyeon Kyeong YEON
1
;
Mi Young LEE
;
Sun Young YOON
;
Hee Jung JUNG
;
Ji Eun PARK
;
Jae Yoon SHIM
;
Hye Sung WON
;
Pil Ryang LEE
;
Ahm KIM
Author Information
1. Department of Obstetrics and Gynecology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea. poptwinkle@hanmail.net
- Publication Type:Case Report
- Keywords:
Aortic valve;
Congenital heart disease;
Prenatal diagnosis;
Pulmonary valve
- MeSH:
Aorta;
Aortic Valve;
Arteries;
Autopsy;
Cardiomegaly;
Echocardiography;
Fetal Death;
Follow-Up Studies;
Heart Defects, Congenital;
Hydrops Fetalis;
Pregnancy;
Prenatal Diagnosis;
Pulmonary Artery;
Pulmonary Valve*
- From:Obstetrics & Gynecology Science
2016;59(5):393-396
- CountryRepublic of Korea
- Language:English
-
Abstract:
We describe a case of absent aortic and pulmonary valves, diagnosed at 16.4 weeks of gestation. Fetal echocardiography showed cardiomegaly with dilated both ventricles. No valve leaflets were observed in the aorta and pulmonary artery, and a typical to-and-fro flow pattern was noted in both great arteries on color Doppler imaging. Fetal hydrops was also detected. Follow-up ultrasonographic evaluation at 19 weeks demonstrated intrauterine fetal death. Postmortem autopsy revealed the absence of both aortic and pulmonary valve leaflets. To the best of our knowledge, this is the earliest diagnosed case of absent both aortic and pulmonary valves and only the second case to be diagnosed prenatally.