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Bigg H, Bolin E, Zakaria D, Bornemeier R. Ruptured Sinus of Valsalva Aneurysm with Resultant Myocardial Pouch Formation in the Fetal Heart-A Diagnostic Challenge. J Cardiovasc Dev Dis 2024; 11:23. [PMID: 38248893 PMCID: PMC10816109 DOI: 10.3390/jcdd11010023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2023] [Revised: 01/01/2024] [Accepted: 01/11/2024] [Indexed: 01/23/2024] Open
Abstract
Sinus of Valsalva aneurysms (SVAs) are infrequently seen in the pediatric population. When these aneurysms rupture, a significant hemodynamic burden is placed on the heart and increases the likelihood of cardiac failure. Here, we report a case of a ruptured SVA into the ventricular myocardium in a fetus with a form of double-inlet left ventricle. To the best of our knowledge, this has not previously been described.
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Affiliation(s)
- Hugh Bigg
- Division of Pediatric Cardiology, University of Utah, Primary Children’s Hospital, #100 Mario Capecchi Dr., Salt Lake City, UT 84113, USA
| | - Elijah Bolin
- Section of Cardiology, Department of Pediatrics, University of Arkansas for Medical Sciences College of Medicine, Arkansas Children’s Hospital, #1 Children’s Way, Slot 512-3, Little Rock, AR 72202, USA
| | - Dala Zakaria
- Section of Cardiology, Department of Pediatrics, University of Arkansas for Medical Sciences College of Medicine, Arkansas Children’s Hospital, #1 Children’s Way, Slot 512-3, Little Rock, AR 72202, USA
| | - Renee Bornemeier
- Section of Cardiology, Department of Pediatrics, University of Arkansas for Medical Sciences College of Medicine, Arkansas Children’s Hospital, #1 Children’s Way, Slot 512-3, Little Rock, AR 72202, USA
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Jiali Y, Dongmei L, Jiangli D, Shi Z, Ming Z, Ganqiong X. Prenatal diagnosis: Hypoplastic left heart syndrome in combination with ventriculo-coronary communication. Birth Defects Res 2023; 115:1936-1940. [PMID: 37817360 DOI: 10.1002/bdr2.2258] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2023] [Revised: 09/01/2023] [Accepted: 09/14/2023] [Indexed: 10/12/2023]
Abstract
BACKGROUND Both hypoplastic left heart syndrome and ventriculo-coronary communication are extremely rare congenital cardiac conditions. CASE 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. CONCLUSION 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.
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Affiliation(s)
- Yu Jiali
- 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
- Clinical Research Center for Medical Imaging in Hunan Province, Changsha, Hunan, China
| | - Liu Dongmei
- 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
- Clinical Research Center for Medical Imaging in Hunan Province, Changsha, Hunan, China
| | - Dong Jiangli
- 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
- Clinical Research Center for Medical Imaging in Hunan Province, Changsha, Hunan, China
| | - Zeng Shi
- 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
- Clinical Research Center for Medical Imaging in Hunan Province, Changsha, Hunan, China
| | - Zhang Ming
- 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
- Clinical Research Center for Medical Imaging in Hunan Province, Changsha, Hunan, China
| | - Xu Ganqiong
- 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
- Clinical Research Center for Medical Imaging in Hunan Province, Changsha, Hunan, China
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