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Hypoplastic Left Heart Syndrome: Diagnostic Difficulties in Prenatal Period

https://doi.org/10.15690/pf.v18i5.2331

Abstract

The article discusses the possible diagnostic errors in the hypoplastic left heart syndrome (HLHS) with mitral atresia and intact interventricular septum. “Atrioventricular canal defects” can be commonly and mistakenly diagnosed the prenatal period in such cases. The aspects and possibilities of differential diagnosis of these defects in the prenatal period are discussed. Ultrasound sign is presented in the article, we have named it “hockey stick with puck” that characterizes the retrograde blood flow in the aortic arch. This sign is diagnosed by color Doppler mapping of the sagittal section of the ductus arteriosus and can serve as a marker of mitral/aortic atresia.

About the Authors

Nodira M. Normuradova
Center for the Development of Professional Qualifications of Medical Workers
Uzbekistan

Nodira M. Normuradova

Ts 44-37, Chilanzar, 79097, Tashkent


Disclosure of interest:

Not declared



Аkram A. Fazilov
Center for the Development of Professional Qualifications of Medical Workers
Uzbekistan

Аkram A. Fazilov

Ts 44-37, Chilanzar, 79097, Tashkent


Disclosure of interest:

Not declared



Munisa M. Rasulova
Center for the Development of Professional Qualifications of Medical Workers
Uzbekistan

Munisa M. Rasulova

Ts 44-37, Chilanzar, 79097, Tashkent


Disclosure of interest:

Not declared



References

1. Smirnov NN, Stremoukhova IT, Pakhomov IV. Gipoplasticheskii sindrom levykh otdelov serdtsa v prenatal’nom periode. Ul’trazvukovaya diagnostika v akusherstve, ginekologii i pediatrii. 2001;(1):8–12. (In Russ).

2. Medvedev MV. Prenatal’naya ekhografiya. Differentsial’nyi diagnoz i prognoz. 4th ed., add. and rev. Moscow: Real Taim; 2016. 640 p. (In Russ).

3. Wojtowicz А, Raczka М, Kordon Z, et al. Hypoplastic left heart syndrome: from the prenatal to the postnatal period. Ginekologia Polska. 2021;92(4):289–299. doi: 10.5603/GP.a2020.0160

4. Komarova IV, Ivanova EN. Prenatal’naya diagnostika edinogo zheludochka serdtsa: tak li vse prosto na praktike? Prenatal diagnosis. 2011;10(3):230–235. (In Russ).

5. Zatikyan EP. Echocardiographical Rating of an Anatomical and Hemodynamical Changes in a Left Heart Hypoplasia Syndrome: from Fetus to Neonatal. Ultrasound and functional diagnostics. 2000;(3):29–35. (In Russ).

6. Rasiah SV, Ewer AK, Miller P, et al. Antenatal perspective of hypoplastic left heart syndrome: 5 years on. Arch Dis Child Fetal Neonatal Ed. 2008;93(3):192–197. doi: 10.1136/adc.2006.112482

7. Pruetz JD, Carroll C, Trento LU, et al. Outcomes of critical congenital heart disease requiring emergent neonatal cardiac intervention. Prenat Diagn. 2014;34(12):1127–1132. doi: 10.1002/pd.4438


Review

For citations:


Normuradova N.M., Fazilov А.A., Rasulova M.M. Hypoplastic Left Heart Syndrome: Diagnostic Difficulties in Prenatal Period. Pediatric pharmacology. 2021;18(5):416-422. (In Russ.) https://doi.org/10.15690/pf.v18i5.2331

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ISSN 1727-5776 (Print)
ISSN 2500-3089 (Online)