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4. Przewodnik po Rekomendacjach Sekcji Ultrasonografii Polskiego Towarzystwa
Julia Murlewska, Agnieszka Żalińska, Danuta Roik, Bożena Werner and Maria Respondek-Liberska
1. Hunter L., Callaghan N., Patel K., Prenatal echocardiographic diagnosis of double aorticarch, Ultrasound Obstet Gynecol. 2015; 45: 483-485
2. Gou Z., He Y., Zhang Y., et al., Prenatal diagnosis of fetal double aorticarch: report of a case, Int J Clin Exp Pathol 2015; 8 (10): 13565-13567
3. Wójtowicz A., Respondek- Liberska M., et al., The significance of a prenatal diagnosis of right aorticarch, Prenatal diagnosis 2017; 37 (4): 365-374
4. Slodki M, Moszura T, Janiak K, Sysa A
Anna Augustyniak, Maciej Słodki, Wojciech Krajewski, Jacek Moll and Maria Respondek-Liberska
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Maria Respondek-Liberska, Maciej Łukaszewski, Adam Oleś, Michał Podgórski, Piotr Grzelak and Maciej Słodki
10. Zhang D, Zhang Y, Ren W, Sun F, Guo Y, Sun W, Wang Y, Huang L, Cai A. Prenatal Diagnosis of Fetal Interrupted AorticArch Type A by Two-Dimensional Echocardiography and Four-Dimensional Echocardiography with B-Flow Imaging and Spatiotemporal Image Correlation. Echocardiography. 2016 Jan;33(1):90-8. doi: 10.1111/echo.12996. Epub 2015 Jun 22.
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12. Slodki M, Moszura T, Janiak K, Sysa A, Seligman NS, Weiner S, Respondek
Daniela Toma, Simina-Elena Rusu, Cristina Blesneac, Marian Pop and Rodica Togănel
Background: Critical aortic coarctation is defined as the severe narrowing of the isthmic aortic lumen, representing a neonatal cardiac emergency, part of the congenital heart diseases with duct-dependent systemic circulation.
Aim of the study: To assess the correlation between transthoracic echocardiography and computed tomography angiography (CTA) in the measurement of aortic diameters in a group of newborns diagnosed with duct-dependent aortic coarctation and/or associated hypoplastic aortic arch.
Material and method: We performed a retrospective study on neonates diagnosed with duct-dependent aortic coarctation and/or associated hypoplastic aortic arch between January 1, 2015 and March 1, 2017. The studied parameters were diameters of the aorta at the level of the aortic annulus, coronary sinuses, sinotubular junction, ascending aorta, proximal and distal aortic arch, and the aortic isthmus. Measurements were obtained by transthoracic echocardiography and thoracic CTA.
Results: Fifteen newborns diagnosed with duct-dependent aortic coarctation and/or associated hypoplastic aortic arch were included in this study. There was no statistically significant difference between the two imaging methods, the T test highlighting differences only between the measurements of the aortic annulus (p <0.016) and coronary sinuses (p <0.008). The patients included in the study associated other cardiovascular abnormalities: persistent ductus arteriosus (100%), atrial septal defect (100%), aortic arch hypoplasia (80%), bicuspid aortic valve (73.3%).
Conclusions: These methods reveal important information on the anatomy of the cardiovascular malformation and its impact on the clinical and paraclinical status of the patient, being fundamental for establishing an optimal therapeutic approach.
Cristina Blesneac, Carmen Corina Şuteu, Marian Pop and Rodica Togănel
Unilateral pulmonary artery agenesis is a rare congenital anomaly, that may develop in isolation, or in association with other congenital cardiovascular anomalies, such as tetralogy of Fallot, septal defects, right-sided aortic arch, or pulmonary atresia. Left-sided pulmonary artery agenesis is less frequent than the right-sided one. Diagnosis of unilateral pulmonary artery agenesis can be difficult. We report the case of a 15 year-old boy who presented with reduced exercise tolerance, shortness of breath and cyanosis. He was diagnosed with left pulmonary artery agenesis, associated with subaortic-ventricular septal defect, right-sided aortic arch, and severe pulmonary arterial hypertension (PAH), that precluded the surgical repair. Pulmonary vasodilator therapy was initiated in this case. The mortality rate of this rare anomaly is high due to its complications. It is essential to establish an early and correct diagnosis, in order to provide adequate treatment and prevent complications in this disease.
Four cases of missed prenatal diagnosis by an experienced ultrasonographer and a fetal cardiologist from a tertiary teaching hospital are presented: 3-mm peri-membrane ventricular septal defect; hypoplastic aortic arch requiring prostin infusion after delivery; esophageal atresia with tracheal fistula; and right-sided diaphragmatic hernia. Freezed frames and cine loops of the prenatal ultrasound scans indicated that the missed anomalies were not visible in midgestation, suggesting that in the future, repeat ultrasound scans should be performed before delivery to reduce the occurrence of such diagnostic errors.
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Aneta Krasoń, Joanna Płużańska, Maciej Łukaszewski, Jadwiga Moll and Maria Respondek-Liberska
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