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Martinez-Domingo R.,Complutense University of Madrid | Martinez-Domingo R.,Hospital General Severo Ochoa | Bravo-Arribas C.,Complutense University of Madrid | Gamez-Alderete F.,Complutense University of Madrid | And 3 more authors.
Ginecologia y Obstetricia de Mexico | Year: 2013

Anomalous pulmonary venous connection is a rare pathology, both partial and total forms, according to the number of pulmonary veins draining into the left atrium, respectively. Total forms are classified into four groups, depending upon the anomalous connections to the systemic veins: supra, intra-cardiac or below, and finally a mixed form, the less frequent. Prenatal, even postnatal diagnose is difficult, especially in partial isolated forms. The association with chromosomal abnormalities is low, however is highly associated with complex heart malformations, especially total forms, often in the context of heterotaxy syndromes. We present a case of infracardiac APVC, in the context of complex heart disease, associated with complete atrioventricular canal and conotruncal anomaly, that came to surgery at 48 hours of life with poor outcome. We described the ultrasound and magnetic resonance angiography of this anomaly and its perinatal prognosis and management.

Iglesias-Roman N.,Complutense University of Madrid | Iglesias-Roman N.,Hospital General Severo Ochoa | Alvarez T.,Complutense University of Madrid | Bravo C.,Complutense University of Madrid | And 4 more authors.
Ginecologia y Obstetricia de Mexico | Year: 2014

This is a report about a case of prenatal diagnosis of critical fetal aortic stenosis with severe mitral valve insufficiency in a 35+6 weeks fetus. Aortic stenosis represents 3% of congenital heart diseases, but its association with mitral regurgitation is quite unusual. Thanks to the latest advances in fetal ultrasonography we can now achieve a more precise diagnosis and we have been able to improve the understanding of its physiopathology. Based on this case we have reviewed the most recent literature about fetal aortic stenosis and mitral valve insufficiency, with the aim of summarizing its main physiopathological features, highlighting the clues and key points for its intrauterine diagnosis, describing its principal complications and summarizing its current treatment options. © 2014, Asociacion Mexicana de Ginecologia y Obstetricia. All rights reserved.

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