Prenatal diagnosis of aortopulmonary window: a literature review and clinical case reports
Objective. To present an update on the prenatal diagnosis of aortopulmonary window (APW), by using two-dimensional fetal echocardiography.Gasanova R.M., Bockeria E.L., Yarygina T.A., Chugunova L.A.
Materials and methods. The review includes data from foreign articles that have been published over the past 10 years and are available in PubMed on this topic. It describes two clinical cases of APW, a rare congenital heart defect.
Results. The review describes the main diagnostic ultrasound projections that are informative for prenatal diagnosis of this defect and presents data from postnatal computed tomography scans of the newborn. It also shows the outcomes of surgery for this defect.
Conclusion. Prenatal diagnosis of APW can be made. The connection between the aorta and the pulmonary artery can be determined using a standard three-vessel section and be suspected during routine second-trimester screening.
Keywords
echocardiography
aortopulmonary window
interrupted aortic arch
aortic origin of the right pulmonary artery
prenatal diagnosis
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Received 29.05.2020
Accepted 05.10.2020
About the Authors
Rena M. Gasanova, MD, cardiologist, PhD, Head of the Perinatal Cardiocenter, A.N. Bakulev Scientific Center for Cardiovascular Surgery, Ministry of Healthcare of the Russian Federation. Tel.: +7(916)243-36-21. E-mail: rmgasanova@bakukev.ru. ORCID: 0000-0003-3318-1074. 121552, Russia, Moscow, Rublevskoe shosse, 135.Ekaterina L. Bokerija, MD, PhD, Head of the 2nd Department of Pathology of Newborns and Premature Babies, Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Healthcare of Russian Federation. Tel.: +7(495)438-27-05. E-mail: e_bokeriya@oparina4.ru.
ORCID: 0000-0002-8898-9612. 117997, Russia, Moscow, Ac. Oparina str., 4.
Tamara A. Yarygina, MD, Ultrasound and Functional Diagnostics Department, Radiology Division, Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology, and Perinatology, Ministry of Healthcare of Russian Federation. Tel.: +7(495)531-44-44. E-mail: t_yarygina@oparina4.ru. ORCID: 0000-0001-6140-1930.
117997, Russia, Moscow, Ac. Oparina str., 4.
Liliyana A. Chugunova, MD, Ultrasound and Functional Diagnostics Department, Radiology Division, Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology, and Perinatology, Ministry of Healthcare of Russian Federation. Tel.: +7(495)531-44-44. E-mail: l_chugunova@oparina4.ru.
117997, Russia, Moscow, Ac. Oparina str., 4.
For citation: Gasanova R.M., Bockeria E.L., Yarygina T.A., Chugunova L.A. Prenatal diagnosis of aortopulmonary window: a literature review and clinical case reports.
Akusherstvo i Ginekologiya/ Obstetrics and gynecology. 2020; 10: 210-215 (in Russian)
https://dx.doi.org/10.18565/aig.2020.10.210-215
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