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The 1st and 2nd trimester scan of the fetal heart in the case of interrupted aortic arch - case report

References 1. Celoria GC, Patton RB. Congenital absence of the aortic arch. Am Heart J 1959;58:407-413. 2. Reardon MJ, Hallman GL, Cooley DA. Interrupted aortic arch: Brief review and summary of an eighteen-year experience. Tex Heart Inst J 1984;11:250-259. 3. Hornberger LK. Aortic arch anomalies. In: Textbook of Fetal Cardiology, Allan L, Hornberger L, Sharland G (eds). Greenwich Medical Media: London, 2000: 305-321. 4. Przewodnik po Rekomendacjach Sekcji Ultrasonografii Polskiego Towarzystwa

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Isolated Double Aortic Arch (Daa) – Prenatal Detection with Postnatal Follow-Up, Case Report and Literature Review

References 1. Hunter L., Callaghan N., Patel K., Prenatal echocardiographic diagnosis of double aortic arch, Ultrasound Obstet Gynecol. 2015; 45: 483-485 2. Gou Z., He Y., Zhang Y., et al., Prenatal diagnosis of fetal double aortic arch: 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 aortic arch, Prenatal diagnosis 2017; 37 (4): 365-374 4. Slodki M, Moszura T, Janiak K, Sysa A

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Comparison of the clinical status and the effects of treatment of newborns with interrupted aortic arch diagnosed prenatally and postnatally in the "Polish Mother's Memorial" Institute in Lodz in the years 2003-2012

References 1. Skalski J, Religa Z. Kardiochirurgia dziecięca. Wydawnictwo Naukowe Śląsk, Katowice 2003. 2. Malec E, Januszewska K, Radziwiłłowa D, Pawłowska M. Dziecko z wadą serca. Poradnik dla rodziców. Fundacja im. Diny Radziwiłłowej, Warszawa 2007. 3. Dillman J, Yarram S, D’Amico A, i wsp. Interrupted Aortic Arch. Spectrum of MRI Findings. American Journal of Roentgenology 2008;6(190):1467-1474. 4. Szczeklik A, Tender M. Kariologia. Podręcznik oparty na zasadach EBM. Tom I. Wyd. Medycyna

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Great Vessels Anomalies – Prenatal Echocardiography and Neonatal Angio-CT – A Pictorial Essay

. 10. Zhang D, Zhang Y, Ren W, Sun F, Guo Y, Sun W, Wang Y, Huang L, Cai A. Prenatal Diagnosis of Fetal Interrupted Aortic Arch 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. 11. Manganaro L. State of art of MRI of fetal heart in 2015. Prenat Cardio. 2015 Sep;5(3):9-12 Doi 10.12847/09152. 12. Slodki M, Moszura T, Janiak K, Sysa A, Seligman NS, Weiner S, Respondek

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Comparative Measurements of Aortic Diameters Using Transthoracic Echocardiography and Thoracic Computed Tomography Angiography in Neonatal Aortic Coarctation

Abstract

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.

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Left Pulmonary Artery Agenesis in a Pediatric Patient – Case Report

Abstract

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.

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Cases Report. Missed Diagnoses in Prenatal Evaluation by Ultrasound: A Retrospective Analysis of four Cases from a Tertiary Center for Fetal Malformations

Abstract

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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Prenatal Diagnosis of Holt-Oram Syndrome

the Holt-Oram syndrome. Prenat Diagn. 1988, 3 (8): 175-181 3. Law KM, Tse KT.: Prenatal sonographic diagnosis of familial Holt-Oram syndrome associated with type B interrupted aortic arch. Hong Kong Med J. 2008, 4 (14): 317-320 4. GeneReviews http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4245183/#CR27 5. Sunagawa S, Kikuchi A, Sano Y, Kita M, Ono K, Horikoshi T, Takagi K, Kawame H.: Prenatal diagnosis of Holt-Oram syndrome: role of 3-D ultrasonography. Congenit Anom (Kyoto) 2009, 1 (49): 38-41 6

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Prenatal Detection and Postnatal Verification of Unusual Intracardiac Total Anomolous Pulmonary Venous Connection (Tapvc) in Complex Heart Defect with Dextrocardia - Case Report

aortic arch. Ultrasound Med Biol 2011: 37 (11): 1808-1813 11. Słodki M, Janiak K, Moszura T, Respondek-Liberska M. View of fetal mediastinum in the diagnosis of coarctation and interrupted aortic arch. Kardiologia Prenatalna ECHO PŁODU-2010, 15-16. ADI, Łódź 2010. 12. Respondek-Liberska M, Szymkiewicz-Dangel J, Tobota Z, Słodki M. Założenia i wstępne wnioski Ogólnopolskiego Rejestru Patologii Kardiologicznych u płodu. Polski Przegląd Kardiologiczny 2008, 10; 129-135. 13. Paladini D, Pistorio A, Wu LH, Meccariello G, Lei T

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Drug Closure of a Patent Ductus Arteriosus in An Extremely Low Birth Weight Premature Newborn. A Case Report

. Coarctation of Aorta. Current Science Inc. Current Cardiology Reports. 2005;7:425-34. 12. Karatza AA, Wolfenden JL, Taylor MJO et al. Influence of twintwin transfusion syndrome on fetal cardiovascular structure and function: prospective case-control study of 136 monochorionic twin pregnancies. Heart. 2002;88:271-7. 13. Boom van den J, Battin M, Hornung T. Twin-twin transfusion syndrome, coarctation of the aorta and hypoplastic aortic arch: a case series report. Paediatr Child Health. 2010;46:76-9. 14. Cloherty JP. Multiple Birth, in Cloherty JP, Eichenwald EC, Stark

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