Pulmonary atresia in prenatal life

Seven cases of pulmonary atresia with intact ventricular septum were detected in prenatal life. In two of these cases, there was a small hypertrophied right ventricle of the type commonly seen postnatally. In the remaining five cases, the right atrium and right ventricle were grossly dilated to a de...

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Veröffentlicht in:	Journal of the American College of Cardiology 1986-11, Vol.8 (5), p.1131-1136
Hauptverfasser:	Allan, Lindsey D., Crawford, Diane C., Tynan, Michael J.
Format:	Artikel
Sprache:	eng
Schlagworte:	Biological and medical sciences Cardiomegaly - complications Cardiomegaly - diagnosis Echocardiography Female Fetal Death - etiology Gynecology. Andrology. Obstetrics Humans Lung - abnormalities Management. Prenatal diagnosis Medical sciences Pregnancy Pregnancy. Fetus. Placenta Prenatal Diagnosis Prognosis
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Zusammenfassung:	Seven cases of pulmonary atresia with intact ventricular septum were detected in prenatal life. In two of these cases, there was a small hypertrophied right ventricle of the type commonly seen postnatally. In the remaining five cases, the right atrium and right ventricle were grossly dilated to a degree that caused lung compression. The resulting impairment of lung development appeared to be an important factor contributing to death in all five cases. Decompression of the right ventricle by intrauterine surgery to allow normal lung development in the last weeks of pregnancy may be the only way of changing this outcome.
ISSN:	0735-1097 1558-3597
DOI:	10.1016/S0735-1097(86)80392-8