First reported case of fetal aortic valvuloplasty in Asia.
10.5468/ogs.2017.60.1.106
- Author:
Sun Young YOON
1
;
Hye Sung WON
;
Mi Young LEE
;
Min Kyong CHO
;
Euiseok JUNG
;
Ki Soo KIM
;
Young Hwue KIM
Author Information
1. Department of Obstetrics and Gynecology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea. hswon@amc.seoul.kr
- Publication Type:Case Report
- Keywords:
Aortic valve stenosis;
Echocardiography;
Fetal heart;
Fetal therapies;
Prenatal diagnosis
- MeSH:
Aortic Valve Stenosis;
Asia*;
Balloon Valvuloplasty;
Bradycardia;
Echocardiography;
Emergencies;
Fetal Heart;
Fetal Therapies;
Follow-Up Studies;
Humans;
Hypoplastic Left Heart Syndrome;
Infant, Newborn;
Pregnancy;
Prenatal Diagnosis
- From:Obstetrics & Gynecology Science
2017;60(1):106-109
- CountryRepublic of Korea
- Language:English
-
Abstract:
Prenatal intervention of severe fetal aortic valve stenosis by ultrasound-guided percutaneous balloon valvuloplasty has been performed to prevent the progression to hypoplastic left heart syndrome, and achieve biventricular circulation in neonates. Here we report a case of fetal aortic valvuloplasty prenatally diagnosed with aortic stenosis at 24 weeks of gestation and showed worsening features on a follow-up echocardiography. Prenatal aortic valvuloplasty was performed at 29 weeks of gestation, and was a technical success. However, fetal bradycardia sustained, and an emergency cesarean delivery was performed. To the best of our knowledge, this is the first reported case of fetal aortic valvuloplasty which was performed in Asia.
