McMahon C J, Taylor M D, Cassady C I, Olutoye O O, Bezold L I
Lillie Frank Abercrombie Section of Pediatric Cardiology, Texas Children's Hospital, Baylor College of Medicine, Houston, TX 77030, USA.
Pediatr Cardiol. 2007 May-Jun;28(3):172-5. doi: 10.1007/s00246-006-0032-1. Epub 2007 Mar 20.
We report two cases of pentalogy of Cantrell diagnosed in utero using a combination of fetal echocardiography and magnetic resonance imaging. The cardiac component consisted of tetralogy of Fallot in the first fetus and ventricular septal defect in the second fetus. Whereas fetal echocardiography allowed accurate delineation of the cardiac anatomy, prenatal magnetic resonance imaging allowed clearer delineation of the extent of the thoracic and abdominal wall defects. Fetal magnetic resonance imaging in conjunction with prenatal echocardiography allows optimal assessment of the fetus with ectopia cordis, which has significant implications from the standpoint of preoperative planning and providing prognostic information. This report represents the first description of applying magnetic resonance imaging in combination with echocardiography toward a better understanding of this clinical entity in the fetus.
我们报告了两例通过胎儿超声心动图和磁共振成像联合诊断的坎特雷尔五联症病例。第一例胎儿的心脏组成部分为法洛四联症，第二例胎儿为室间隔缺损。虽然胎儿超声心动图能够准确描绘心脏解剖结构，但产前磁共振成像能更清晰地描绘胸壁和腹壁缺损的范围。胎儿磁共振成像与产前超声心动图相结合，能够对心脏异位胎儿进行最佳评估，这从术前规划和提供预后信息的角度来看具有重要意义。本报告首次描述了将磁共振成像与超声心动图结合应用，以更好地了解胎儿中的这一临床实体。
