Mandorla S, Narducci P L, Migliozzi L, Pagliacci M, Cucchia G
G Ital Cardiol. 1984 Jul;14(7):517-20.
The authors report of a prenatal ultrasound diagnosis of hypoplastic left heart syndrome (HLHS) in a fetus at 36 weeks' gestation. The diagnosis-was substantiated by a postnatal two dimensional and M-mode echocardiogram and confirmed at postmortem examination. Pertinent findings were the morphology of ventricular cavities and of the mitral valve, and the abnormally increased ratio of right ventricular to left ventricular dimensions (approximately 2) as well as the pulmonary-to-aorta diameter ratio of 1,7. We stress the need of an accurate measurement of ventricular cavities to avoid a falsely positive diagnosis and the importance of a prenatal ultrasound diagnosis of congenital heart anomalies for a correct perinatal management.
作者报告了一例妊娠36周胎儿经产前超声诊断为左心发育不全综合征（HLHS）的病例。该诊断经产后二维及M型超声心动图证实，并在尸检时得到确认。相关发现包括心室腔和二尖瓣的形态，右心室与左心室尺寸异常增加的比例（约为2）以及肺动脉与主动脉直径比为1.7。我们强调准确测量心室腔以避免假阳性诊断的必要性，以及先天性心脏异常的产前超声诊断对正确围产期管理的重要性。
