Department of Pediatrics, Division of Pediatric Cardiology, Columbia University Medical Center, New York, NY 10032, USA.
Ultrasound Obstet Gynecol. 2011 Oct;38(4):472-4. doi: 10.1002/uog.8982. Epub 2011 Sep 6.
Hypoplastic left ventricle with congenital heart block has been reported previously in a fetus with concurrent left atrial isomerism and levo-transposition of the great arteries. We present the unusual case of an infant diagnosed in utero with hypoplastic left heart syndrome, a restrictive atrial septum and advanced heart block but with D-looping of the ventricles and no atrial isomerism. In addition, fetal heart rhythm was documented with the assistance of a new fetal electrocardiographic monitor.
左心发育不良合并先天性心脏传导阻滞此前曾在伴有左房异构和大动脉左旋错位的胎儿中报道过。我们报告了一例不典型病例,该婴儿在宫内诊断为左心发育不良综合征、限制性房间隔缺损和高度心脏传导阻滞,但心室呈 D 型环且无房间异构。此外,在新的胎儿心电图监测器的协助下记录了胎儿的心律。