Sylwestrzak Oskar, Respondek-Liberska Maria
Medical Faculty, Medical University of Lodz , Lodz , Poland ; Department for Prenatal Cardiology, Polish Mother's Memorial Hospital Research Institute , Lodz , Poland.
Department for Prenatal Cardiology, Polish Mother's Memorial Hospital Research Institute , Lodz , Poland ; Department for Congenital Malformations and Prevention, Faculty of Public Health, Medical University of Lodz , Poland.
J Ultrason. 2020;20(81):e146-e150. doi: 10.15557/JoU.2020.0023. Epub 2020 Jun 15.
Persistent left superior vena cava is a malformation of cardinal veins. We report a case of a secundigravida who had many fetal ultrasound examinations - first performed by an obstetrician (who described fetal mediastinum as "abnormal"), second by other obstetrician, who performed basic fetal echocardiographic examination and diagnosed persistent left superior vena cava. The woman was referred to a tertiary center for detailed fetal echocardiography. The diagnosis of persistent left superior vena cava with agenesis of the right superior vena cava was confirmed. The anomaly had no influence on fetal hemodynamic stability, fetal life, delivery and early postnatal period. After delivery, the neonate was under observation for further anomalies, aortic coarctation in particular. Prenatal and postnatal management was summarized. Literature review is presented. Persistent left superior vena cava is a malformation of cardinal veins. We report a case of a secundigravida who had many fetal ultrasound examinations – first performed by an obstetrician (who described fetal mediastinum as “abnormal”), second by other obstetrician, who performed basic fetal echocardiographic examination and diagnosed persistent left superior vena cava. The woman was referred to a tertiary center for detailed fetal echocardiography. The diagnosis of persistent left superior vena cava with agenesis of the right superior vena cava was confirmed. The anomaly had no influence on fetal hemodynamic stability, fetal life, delivery and early postnatal period. After delivery, the neonate was under observation for further anomalies, aortic coarctation in particular. Prenatal and postnatal management was summarized. Literature review is presented.
永存左上腔静脉是一种主静脉畸形。我们报告一例经产妇病例，该产妇接受了多次胎儿超声检查——首次由一名产科医生进行（该医生将胎儿纵隔描述为“异常”），第二次由另一名产科医生进行，其进行了基本的胎儿超声心动图检查并诊断为永存左上腔静脉。该名女性被转诊至三级医疗中心进行详细的胎儿超声心动图检查。最终确诊为永存左上腔静脉合并右上腔静脉缺如。该畸形对胎儿血流动力学稳定性、胎儿生命、分娩及产后早期均无影响。分娩后，对新生儿进行观察以排查其他异常，尤其是主动脉缩窄。总结了产前和产后管理情况，并进行了文献综述。永存左上腔静脉是一种主静脉畸形。我们报告一例经产妇病例，该产妇接受了多次胎儿超声检查——首次由一名产科医生进行（该医生将胎儿纵隔描述为“异常”），第二次由另一名产科医生进行，其进行了基本的胎儿超声心动图检查并诊断为永存左上腔静脉。该名女性被转诊至三级医疗中心进行详细的胎儿超声心动图检查。最终确诊为永存左上腔静脉合并右上腔静脉缺如。该畸形对胎儿血流动力学稳定性、胎儿生命、分娩及产后早期均无影响。分娩后，对新生儿进行观察以排查其他异常，尤其是主动脉缩窄。总结了产前和产后管理情况，并进行了文献综述。
