Citation Information :
Hata T, Koyanagi A, Takayoshi R, Nakai Y, Miyake T. Mitral and Aortic Atresia, Ductus Arteriosus Aneurysm, and Aortic Tortuosity: First- and Second-trimester HDlive Flow Features. Donald School J Ultrasound Obstet Gynecol 2021; 15 (4):414-416.
We present the first- and second-trimester HDlive Flow features of mitral and aortic atresia, ductus arteriosus aneurysm, and aortic tortuosity and kinking. Retrograde aortic flow was evident, and aortic tortuosity and kinking were suspected using HDlive Flow with spatiotemporal image correlation (STIC) at 13 weeks and 6 days of gestation. Mitral and aortic atresia and tricuspid regurgitation were recognized by conventional fetal echocardiography at 20 weeks of gestation. HDlive Flow clearly showed retrograde aortic flow, ductus arteriosus aneurysm, and helical aortic tortuosity and aortic kinking. Congestive heart failure (pericardial effusion, pleural effusion, and ascites) was also evident. Termination of pregnancy was conducted due to the parent\'s desire to discontinue the pregnancy. There were no apparent phenotypic features of connective-tissue disorder. The parents refused further work-up such as autopsy, chromosomal analysis, and genetic studies of the baby. To the best of our knowledge, this is the first report on aortic tortuosity and kinking of a fetus in the first trimester of pregnancy using HDlive Flow with STIC.
Aslan H, Gungorduk K, Yildirim G, et al. Prenatal diagnosis of aortic tortuosity syndrome. Ultrasound Obstet Gynecol 2008;32(5):714–718. DOI: 10.1002/uog.6153
Jeong BD, Park JH, Lee MY, et al. A rare case of prenatally diagnosed arterial tortuosity. J Ultrasound Med 2018;37(8):2105–2107. DOI: 10.1002/jum.14544
Ishido H, Baba K, Maeda S, et al. Isolated abdominal aortic tortuosity diagnosed by fetal echocardiography. J Echocardiogr 2019(1):60–62. DOI: 10.1007/s12574-019-00441-0
Karmegaraj B, Rajeshkannan R, Kappanayil M, et al. Fetal descending aortic tortuosity with ductal aneurysm. Ultrasound Obstet Gynecol 2019;54(1):142–144. DOI: 10.1002/uog.20303
Ito M, AboEllail MAM, Yamamoto K, et al. HDlive Flow silhouette mode and spatiotemporal image correlation for diagnosing congenital heart disease. Ultrasound Obstet Gynecol 2017;50(3):411–415. DOI: 10.1002/uog.17519
Hata T, Koyanagi A, Yamanishi T, et al. Success rate of five cardiac views using HDlive Flow with spatiotemporal image correlation at 18-21 and 28-31 weeks of gestation. J Perinat Med 2020;48:384–388. DOI: 10.1515/jpm-2019-0434
Takayoshi R, Hata T, Bouno S, et al. HDlive Flow for the diagnosis of double outlet right ventricle at 19 weeks of gestation. Donald School J Ultrasound Obstet Gynecol 2020;14(4):351–354. DOI: 10.5005/jp-journals-10009-1673
AboEllail MAM, Kanenishi K, Tenkumo C, et al. Diagnosis of truncus arteriosus in first trimester of pregnancy using transvaginal four-dimensional color Doppler ultrasound. Ultrasound Obstet Gynecol 2015;45(6):759–760. DOI: 10.1002/uog.14868
Hata T, Ito M, Nitta E, et al. HDlive Flow silhouette mode for diagnosis of ectopia cordis with a left ventricular diverticulum at 15 weeks’ gestation. J Ultrasound Med 2018;37(10):2465–2467. DOI: 10.1002/jum.14583
Morris SA. Arterial tortuosity in genetic arteriopathies. Curr Opin Cardiol 2015;30(6):587–593. DOI: 10.1097/HCO.0000000000000218