Prenatal ultrasonic diagnosis of anomalous origin of one pulmonary artery from the aorta and literature review
10.3760/cma.j.issn.1004-4477.2018.08.009
- VernacularTitle:单侧肺动脉异常起源于主动脉产前超声诊断并文献复习
- Author:
Lin CHEN
1
;
Liuying ZHOU
;
Fangli LIU
;
Hui HE
;
Zexuan YANG
;
Guijing CHENG
;
Linhua YANG
Author Information
1. 610031,成都市妇女儿童中心医院超声影像科
- Keywords:
Echocardiography;
Fetus;
Anomalous origin of one pulmonary artery from the aorta
- From:
Chinese Journal of Ultrasonography
2018;27(8):678-682
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the prenatal ultrasonographic characteristics of anomalous origin of one pulmonary artery from the aorta( AOPA ) ,and describe the diagnostic and clinical outcomes of fetal AOPA . Methods Echocardiographic characteristics of 3 fetuses with AOPA were reviewed . The ultrasonographic features were comparatively analyzed with postpartum autopsy findings . The relevant literature were reviewed and the experience of prenatal diagnosis of AOPA were summarized . Results In 3 cases with AOPA ,2 cases were the proximal type and anomalous origin of right pulmonary artery from the aorta ,of them ,one was accompanied with coarctation of the aorta , the other was accompanied with aortopulmonary window . One case was the distal type and anomalous origin of left pulmonary artery from the left innominate aorta ,it was only associated with mirror right aortic arch and right ductus arteriosus . Ultrasound characteristics were no bifurcation in distal pulmonary artery ,main trunk of pulmonary artery extends directly to one branch ,the other branch originated from the ascending aorta or left innominate artery . Three cases were confirmed by postpartum autopsy . Conclusions There are some characteristic signs on ultrasonic features of AOPA . Prenatal ultrasound has important value for diagnosis of AOPA .
