Prenatal diagnosis of aortic atresia by colour doppler flow mapping |
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| Authors: | Dr Ulrich Gembruch Molly Chatterjee Rainer Bald Gerd Eldering Helga Göcke Andreas E Urban Manfred Hansmann |
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| Institution: | 1. Department of Prenatal Diagnosis and Therapy, University Hospital, Bonn;2. Department of Obstetrics and Gynecology, Vinzenz Pallotli Hospital, Bensberg;3. Department of Pathology, Evangelisches Krankenhaus, Köln;4. Department of Pediatric Cardiac Surgery, Johanniter-Kinderklinik, St. Augustin, F.K.G. |
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| Abstract: | A case of aortic atresia with insufficiency of mitral valve diagnosed prenatally at 33 weeks of gestation is presented. An accurate diagnosis of this fetal cardiovascular malformation was possible by application of Doppler colour flow mapping, which demonstrated (a) the absence of forward flow in the hypoplastic ascending aorta, (b) reverse flow of blood from the ductus arteriosus into the severely hypoplastic ascending aorta in the late systole, (c) pansystolic mitral valve regurgitation, and (d) absent flow across the foramen ovale as a result of premature closure of the foramen ovale. |
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| Keywords: | Doppler colour flow mapping Fetal echocardiography Aortic atresia Hypoplastic left heart Premature closure of foramen ovale Endocardial fibroelastosis |
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