Antenatal diagnosis of double outlet of right ventricle without extracardiac anomaly: A report of 4 cases

Four fetuses were diagnosed antenatally with double outlet of right ventricle (DORV) at 17, 20, 26, and 28 weeks' gestation, respectively, using 2-dimensional sonography. Chromosome study was normal in all 4 cases, and there were no extracardiac abnormalities. The sonographic diagnoses were bas...

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Bibliographic Details
Main Authors: Tongsong T., Chanprapaph P., Sittiwangkul R., Khunamornpong S.
Format: Article
Language:English
Published: 2014
Online Access:http://www.scopus.com/inward/record.url?eid=2-s2.0-34248525118&partnerID=40&md5=58ed7a9fbf6d99d4d6961123894bc692
http://www.ncbi.nlm.nih.gov/pubmed/17354244
http://cmuir.cmu.ac.th/handle/6653943832/2219
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Institution: Chiang Mai University
Language: English
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Summary:Four fetuses were diagnosed antenatally with double outlet of right ventricle (DORV) at 17, 20, 26, and 28 weeks' gestation, respectively, using 2-dimensional sonography. Chromosome study was normal in all 4 cases, and there were no extracardiac abnormalities. The sonographic diagnoses were based on the following findings: (1) arising of the 2 great vessels predominantly from the right ventricle; (2) the presence of bilateral coni; and (3) parallel direction of the 2 vessels rather than the normal perpendicular course. Two cases were terminated electively with postnatal autopsy confirmation; the other 2 cases were closely monitored throughout pregnancy and underwent normal vaginal delivery at term and subsequent surgical correction with good outcome. In conclusion, DORV can be readily diagnosed in utero by checking outflow tract even without 3-dimensional sonography and in the absence of obvious risk for congenital heart defects. © 2007 Wiley Periodicals, Inc.