Donald School Journal of Ultrasound in Obstetrics and Gynecology

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VOLUME 14 , ISSUE 4 ( October-December, 2020 ) > List of Articles

CASE REPORT

Three-dimensional Fetal Echocardiographic Assessment of Persistent Left Superior Vena Cava with Absent Right Superior Vena Cava

Toshiyuki Hata, Aya Koyanagi, Tomomi Yamanishi, Saori Bouno, Riko Takayoshi, Yuichiro Nakai, Takahito Miyake

Keywords : Absent right superior vena cava, Antenatal diagnosis, HDlive Flow, Persistent left superior vena cava, Spatiotemporal image correlation, Three-dimensional fetal echocardiography

Citation Information : Hata T, Koyanagi A, Yamanishi T, Bouno S, Takayoshi R, Nakai Y, Miyake T. Three-dimensional Fetal Echocardiographic Assessment of Persistent Left Superior Vena Cava with Absent Right Superior Vena Cava. Donald School J Ultrasound Obstet Gynecol 2020; 14 (4):346-348.

DOI: 10.5005/jp-journals-10009-1671

License: CC BY-NC 4.0

Published Online: 13-01-2021

Copyright Statement:  Copyright © 2020; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

We present our experience of diagnosing the fetal persistent left superior vena cava with the absent right superior vena cava using HDlive Flow with spatiotemporal image correlation (STIC). A 28-year-old pregnant Japanese woman, gravida 2, para 1, was referred to us for routine ultrasound screening at 28 weeks and 4 days of gestation. Two-dimensional sonography and radiant flow showed a dilated coronary sinus with the four-chamber view, and revealed a blood vessel on the left side of the pulmonary artery and absence of the superior vena cava with the three-vessel view. However, there was no other cardiac anomaly. Five cardiac views by an HDlive Flow with STIC clearly showed the absence of the right superior vena cava and a persistent left superior vena cava connected to a dilated coronary sinus. HDlive Flow with STIC provides additional diagnostic clues to evaluate abnormal systemic venous return in the fetus.


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