Skip to main content
SpringerLink
Log in

Prenatal diagnosis of pulmonary atresia with ventricular septal defect

  • Case Report
  • Published:
Journal of Medical Ultrasonics Aims and scope Submit manuscript

Abstract

Pulmonary atresia with ventricular septal defect (PA-VSD) is a rare complex congenital heart defect. Major artery-pulmonary collateral arteries (MAPCAs) are characteristic of PA-VSD. Prenatal diagnosis can be achieved in most cases of PA-VSD with recent advances in echocardiography. However, it is extremely rare that all MAPCAs can be observed on the echocardiograph. Here, we report a case of prenatally diagnosed type C PA-VSD in which all the MAPCAs could be seen on the echocardiograph, with the diagnosis supported by autopsy evidence.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Carotti A, Albanese SB, Di Donato RM. Unifocalization and repair of pulmonary atresia with ventricular septal defect and major aortopulmonary collateral arteries. Acta Paediatr Suppl. 2006;95:22–6.

    Article  PubMed  Google Scholar 

  2. Haas NA, Kleideiter U. Pulmonary Atresia with ventrical septal defect. In: Haas NA, Kleideiter U, editors. Pediatriccardiology: symptoms, diagnosis, treatment. Stuttgart: Thieme; 2015. p. 51–4.

    Google Scholar 

  3. Khositseth A, Tocharoentanaphol C, Khowsathit P, et al. Chromosome 22q11 deletions in patients with conotruncal heart defects. Pediatr Cardiol. 2005;26:570–3.

    Article  CAS  PubMed  Google Scholar 

  4. Gómez O, Soveral I, Bennasar M, et al. Accuracy of fetal echocardiography in the differential diagnosis between truncus arteriosus and pulmonary atresia with ventricular septal defect. Fetal Diagn Ther. 2016;39:90–9.

    Article  PubMed  Google Scholar 

  5. Barbero-Marcial M. Classification of pulmonary atresia with ventricular septal defect. Ann Thorac Surg. 2001;72:316–7.

    Article  CAS  PubMed  Google Scholar 

  6. Volpe P, Campobasso G, Stanziano A, et al. Novel application of 4D sonography with B-flow imaging and spatio-temporal image correlation (STIC) in the assessment of the anatomy of pulmonary arteries in fetuses with pulmonary atresia and ventricular septal defect. Ultrasound Obstet Gynecol. 2006;28:40–6.

    Article  CAS  PubMed  Google Scholar 

  7. Vesel S, Rollings S, Jones A, et al. Prenatally diagnosed pulmonary atresia with ventricular septal defect: echocardiography, genetics, associated anomalies and outcome. Heart. 2006;92:1501–5.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. Collett RW, Edwards JE. Persistent truncus arteriosus: a classification according to anatomic types. Surg Clin N Am. 1949;29:1245–70.

    Article  CAS  PubMed  Google Scholar 

  9. Praagh RV, Praagh SV. The anatomy of common aorticopulmonary trunk (truncus arteriosus communis) and its embryologic implications: a study of 57 necropsy cases. Am J Cardiol. 1965;16:406–25.

    Article  PubMed  Google Scholar 

  10. Song SW, Park HK, Park YH, et al. Pulmonary atresia with ventricular septal defects and major aortopulmonary collateral arteries. Circ J. 2009;73:516–22.

    Article  PubMed  Google Scholar 

  11. Rajeshkannan R, Moorthy S, Sreekumar KP, et al. Role of 64-MDCT in evaluation of pulmonary atresia with ventricular septal defect. AJR Am J Roentgenol. 2010;194:110–8.

    Article  PubMed  Google Scholar 

  12. Soetikno RD, Hermawan R. Imaging clinical information using dual-source 128-MDCT in two cases of pulmonary atresia and ventricular septal defect. Radiol Case Rep. 2015;8:856.

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Ultrasound, The Maternal and Child Health Hospital of Guangxi Zhuang Autonomous Region, Nanning, China

    Shui-hua Yang, Xiao-xian Tian, Xin-yan Li, Xue-qin Li & Zuo-jian Yang

  2. Department of Oncology, The Third Affiliated Hospital of Guangxi Medical University, Nanning, China

    Peng-hui Luo

  3. Department of Ultrasound, The Maternal and Child Health Hospital of Shenzhen, Shenzhen, Guangdong, China

    Sheng-li Li

Authors
  1. Shui-hua Yang
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Peng-hui Luo
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Xiao-xian Tian
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Xin-yan Li
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Xue-qin Li
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Zuo-jian Yang
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Sheng-li Li
    View author publications

    You can also search for this author in PubMed Google Scholar

Contributions

XxT and SlL conceived the study and participated in study design. ShY, PhL, and XyL participated in study design and drafted the manuscript. XqL and ZjY carried out the postmortem study. All authors have approved the final article and contributed to conception, literature review, analysis, and interpretation of the material. To the best of our knowledge and belief, this manuscript has not been published in whole or in part nor is it being considered for publication elsewhere.

Corresponding author

Correspondence to Xiao-xian Tian.

Ethics declarations

Ethics approval and consent to participate

Written informed consent was obtained from the patient for publication of this case report and any accompanying images in simplified Chinese.

Conflict of interest

There are no financial or other relations that could lead to a conflict of interest.

Funding

This work is supported by Guangxi Research and Development Project of Health Approximate Technology (S2013-0902), and Self-financing Project of National Health and Family Planning Commission of Guangxi Zhuang Autonomous Region (Z2016106).

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Yang, Sh., Luo, Ph., Tian, Xx. et al. Prenatal diagnosis of pulmonary atresia with ventricular septal defect. J Med Ultrasonics 45, 341–344 (2018). https://doi.org/10.1007/s10396-017-0809-2

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10396-017-0809-2

Keywords

Search

Navigation