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Prenatal diagnosis of aortopulmonary window associated with aberrant subclavian artery

Published online by Cambridge University Press:  16 March 2017

Adetola F. Louis-Jacques ,
Sarah G. Običan ,
Thieu Nguyen  and
Anthony Odibo
Adetola F. Louis-Jacques*
Affiliation:
Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of South Florida Morsani College of Medicine, 2 Tampa General Circle, Tampa, FL 33606, United States of America
Sarah G. Običan
Affiliation:
Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of South Florida Morsani College of Medicine, 2 Tampa General Circle, Tampa, FL 33606, United States of America
Thieu Nguyen
Affiliation:
Division of Pediatric Cardiology, Department of Cardiology, All Children’s Heart Institute, 601 5th Street, Saint Petersburg, FL 33701, United States of America
Anthony Odibo
Affiliation:
Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of South Florida Morsani College of Medicine, 2 Tampa General Circle, Tampa, FL 33606, United States of America
*
Correspondence to: A. F. Louis-Jacques, Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of South Florida Morsani College of Medicine, 2 Tampa General Circle, Tampa, FL 33606, United States of America. Tel: 813 259 0828; Fax: 813 250 2203; E-mail: [email protected]
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Abstract

Aortopulmonary window is a rare cardiac developmental anomaly characterised by a communication between the ascending aorta and the pulmonary artery. Aortopulmonary window may be isolated or associated with cardiac defects such as ventricular septal defect, atrial septal defect, interrupted aortic arch, and tetralogy of Fallot. We report a case of aortopulmonary window associated with aberrant subclavian artery based on fetal two-dimensional echocardiogram. The mother was referred for fetal echocardiography because of multiple fetal anomalies. Prenatal echocardiography at 30 weeks of gestation revealed a defect between the main and right pulmonary arteries and the ascending aorta (type III). The patient was born at 38 weeks of gestation via caesarean delivery, and was admitted to the neonatal intensive care unit because of respiratory failure and multiple congenital anomalies. Postnatal echocardiogram and cardiac MRI confirmed the prenatal findings. In addition, this patient had severe Dandy–Walker malformation and renal anomalies with poor prognosis. The family decided to withdraw respiratory care support on day of life 4, and the neonate passed away shortly after.

Keywords

Aortopulmonary windowaortopulmonary septal defectsCHD
Type
Case Report
Information
Cardiology in the Young , Volume 27 , Issue 7 , September 2017 , pp. 1441 - 1443
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Copyright
© Cambridge University Press 2017 

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References

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