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Prenatal diagnosis of congenital absence of aortic valve associated with restrictive foramen ovale : Hemodynamic features and clinical outcome
Author(s) -
Murakami Takashi,
Lin Lisheng,
Ishiodori Takumi,
Takeuchi Syusuke,
Shiono Junko,
Horigome Hitoshi
Publication year - 2019
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/jcu.22636
Subject(s) - medicine , cardiology , ascending aorta , patent foramen ovale , ventricle , foramen ovale (heart) , circulatory system , aortic valve , shunt (medical) , aorta , hemodynamics , regurgitation (circulation) , migraine
We present the case of a fetus with absent aortic valve (AAV), mitral regurgitation (MR), and restrictive foramen ovale (FO) who survived in utero but died of severe hypoxia after birth. We reported previously two cases of “inverse circulatory shunt” in AAV with MR, that is, blood from the ascending aorta flowing into the left ventricle through aortic regurgitation, to the left atrium due to MR, to the right atrium through FO, to the right ventricle, then to the pulmonary arteries, and to the ascending aorta through the ductus. In the present case, restrictive FO prevented inverse circulatory shunt, but resulted in postnatal death.