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Prenatal Diagnosis of Persistent Left Superior Vena Cava Raises Suspicion for Coarctation of Aorta
A pregnant woman was referred to our hospital with a persistent left superior vena cava (PLSVC) and a slightly smaller left heart at 35 weeks of gestation. Fetal echocardiography revealed a small aortic valve and a slightly narrow aortic isthmus. A PLSVC was identified in the dilated coronary sinus....
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9650936/ https://www.ncbi.nlm.nih.gov/pubmed/36381740 http://dx.doi.org/10.7759/cureus.30220 |
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author | Yonehara, Kosuke Terada, Kazuya Morine, Mikio |
author_facet | Yonehara, Kosuke Terada, Kazuya Morine, Mikio |
author_sort | Yonehara, Kosuke |
collection | PubMed |
description | A pregnant woman was referred to our hospital with a persistent left superior vena cava (PLSVC) and a slightly smaller left heart at 35 weeks of gestation. Fetal echocardiography revealed a small aortic valve and a slightly narrow aortic isthmus. A PLSVC was identified in the dilated coronary sinus. We did not suspect strong coarctation of the aorta (CoA). Echocardiography on postnatal day 0 revealed a slightly narrow isthmus (3.1 mm with a pressure gradient of 5-10 mmHg). When the ductus arteriosus was closed, the isthmus narrowed rapidly to 2.4 mm, and the pressure gradient reached 30 mmHg, which was an indication of surgical arch repair. Aortic arch repair was performed with cardiopulmonary assistance on postnatal day 23. This case presents two lessons. First, when PLSVC is prenatally diagnosed, CoA should be suspected. Second, once CoA is suspected, careful observation of the aortic arch, particularly the isthmus, should be performed. |
format | Online Article Text |
id | pubmed-9650936 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-96509362022-11-14 Prenatal Diagnosis of Persistent Left Superior Vena Cava Raises Suspicion for Coarctation of Aorta Yonehara, Kosuke Terada, Kazuya Morine, Mikio Cureus Cardiology A pregnant woman was referred to our hospital with a persistent left superior vena cava (PLSVC) and a slightly smaller left heart at 35 weeks of gestation. Fetal echocardiography revealed a small aortic valve and a slightly narrow aortic isthmus. A PLSVC was identified in the dilated coronary sinus. We did not suspect strong coarctation of the aorta (CoA). Echocardiography on postnatal day 0 revealed a slightly narrow isthmus (3.1 mm with a pressure gradient of 5-10 mmHg). When the ductus arteriosus was closed, the isthmus narrowed rapidly to 2.4 mm, and the pressure gradient reached 30 mmHg, which was an indication of surgical arch repair. Aortic arch repair was performed with cardiopulmonary assistance on postnatal day 23. This case presents two lessons. First, when PLSVC is prenatally diagnosed, CoA should be suspected. Second, once CoA is suspected, careful observation of the aortic arch, particularly the isthmus, should be performed. Cureus 2022-10-12 /pmc/articles/PMC9650936/ /pubmed/36381740 http://dx.doi.org/10.7759/cureus.30220 Text en Copyright © 2022, Yonehara et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Cardiology Yonehara, Kosuke Terada, Kazuya Morine, Mikio Prenatal Diagnosis of Persistent Left Superior Vena Cava Raises Suspicion for Coarctation of Aorta |
title | Prenatal Diagnosis of Persistent Left Superior Vena Cava Raises Suspicion for Coarctation of Aorta |
title_full | Prenatal Diagnosis of Persistent Left Superior Vena Cava Raises Suspicion for Coarctation of Aorta |
title_fullStr | Prenatal Diagnosis of Persistent Left Superior Vena Cava Raises Suspicion for Coarctation of Aorta |
title_full_unstemmed | Prenatal Diagnosis of Persistent Left Superior Vena Cava Raises Suspicion for Coarctation of Aorta |
title_short | Prenatal Diagnosis of Persistent Left Superior Vena Cava Raises Suspicion for Coarctation of Aorta |
title_sort | prenatal diagnosis of persistent left superior vena cava raises suspicion for coarctation of aorta |
topic | Cardiology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9650936/ https://www.ncbi.nlm.nih.gov/pubmed/36381740 http://dx.doi.org/10.7759/cureus.30220 |
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