Jiali Yu, Dongmei Liu, Jiangli Dong, Shi Zeng, Ming Zhang, Ganqiong Xu
Department of Ultrasound Diagnosis, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China.
Research Center of Ultrasound Diagnostic, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China.
Birth Defects Res. 2023 Dec 1;115(20):1936-1940. doi: 10.1002/bdr2.2258. Epub 2023 Oct 10.
Both hypoplastic left heart syndrome and ventriculo-coronary communication are extremely rare congenital cardiac conditions.
The diagnosis of hypoplastic left heart syndrome combined with endocardial fibroelastosis and ventriculo-coronary communication was made in a pregnant woman at 24 weeks of gestation. Interestingly, unlike diastolic flow from the coronary artery to the left ventricle in typical ventriculo-coronary communication, this fetus showed a systolic flow from the left ventricle to the coronary artery.
To the best of our knowledge, this is the first study to present only a systolic flow signal in hypoplastic left heart syndrome combined with ventriculo-coronary communication in prenatal ultrasonography.
左心发育不全综合征和心室-冠状动脉交通均为极其罕见的先天性心脏疾病。
一名妊娠24周的孕妇被诊断为左心发育不全综合征合并心内膜弹力纤维增生症及心室-冠状动脉交通。有趣的是，与典型心室-冠状动脉交通中冠状动脉向左心室的舒张期血流不同，该胎儿显示出左心室向冠状动脉的收缩期血流。
据我们所知，这是第一项在产前超声检查中呈现左心发育不全综合征合并心室-冠状动脉交通时仅出现收缩期血流信号的研究。
