Prenatally Diagnosed Ventricular Inversion, Restrictive Ventricular Septal Defect, Pulmonary Stenosis, Hypertensive Left Ventricle and Double Outlet Right Ventricle: Case Report and Literature Review
We herein describe, for the first time, the fetal presentation of a case of ventricular inversion, restrictive ventricular septal defect, pulmonary stenosis, hypertensive left ventricle and double outlet right ventricle at 34 weeks of gestational age. Postnatal echocardiography confirmed the prenatal diagnosis. The patient was subsequently successfully palliated with a left ventricle to pulmonary artery conduit. This report illustrates the importance of detailed fetal echocardiography to ensure appropriate delivery and neonatal management, and to optimize outcome.
KeywordsFetal echocardiography Double-outlet right ventricle Ventricular inversion Complex fetal heart disease
Compliance with Ethical Standards
Conflict of interest
Drs. El-Asmar, Degheili, Al-Halabi, and Sklansky declare that they have no conflict of interest.
This article does not contain any studies with human participants performed by any of the authors.
Informed consent was not performed on the single patient described in this case report; the patient’s family was not available to obtain informed consent for this case report.
- 1.Walker SG (2010) Anesthesia for left-to-right shunt lesions. In: Andropoulos D (ed) Anesthesia for congenital heart disease, 2nd edn. Wiley-Blackwell, Oxford, pp 384–386Google Scholar
- 3.Lev M, Bharati S, Meng L et al (1972) A concept of double-outlet right ventricle. J Thorac Cardiovasc Surg 64:271–281Google Scholar
- 9.Snider AR, Serwer GA, Ritter SB (eds) (1997) Echocardiography in pediatric heart disease, 2nd edn. Mosby-Year Book, St Louis, MO, pp. 297–342Google Scholar