CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2008; 18(04): 352-354
DOI: 10.4103/0971-3026.43841
Obstetric USG Symposium

Absent pulmonary valve syndrome with tetralogy of Fallot and associated dextrocardia detected at an early gestational age of 26 weeks

Alpa H Bharati
Department of Radiology, Lokmanya Tilak Municipal General Hospital, Sion, Mumbai, India
,
Ajita Naware
Department of Radiology, Lokmanya Tilak Municipal General Hospital, Sion, Mumbai, India
,
Suleman A Merchant
Department of Radiology, Lokmanya Tilak Municipal General Hospital, Sion, Mumbai, India
› Author Affiliations
Financial support and sponsorship Nil.

Abstract

Absent pulmonary valve syndrome is a rare congenital anomaly, usually seen in association with a ventricular septal defect. It has been reported to occur in 3-6% of cases of tetralogy of Fallot. Absence of the pulmonary valve results in a dilated main pulmonary artery, which can be seen as a cystic, pulsatile, paracardiac lesion on antenatal USG. Such a lesion, though rare, can easily be detected. We report a case of this rare anomaly which was present in association with a ventricular septal defect, tetralogy of Fallot, and dextrocardia. The case was detected at 26 weeks of gestation.



Publication History

Article published online:
31 July 2021

© 2008. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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  • References

  • 1 Yaman C, Arzt W, Tulzer G, Tews G. Tetralogy of Fallot with absent pulmonary valve - prenatal diagnosis and management in the 2 nd trimester. Geburtshilfe Frauenheilkd 1996;56:563-5
  • 2 Yeager SB, Van Der Velde ME, Waters BL, Sanders SP. Prenatal role of the ductus arteriosus in absent pulmonary valve syndrome. Echocardiography 2002;19:489-93
  • 3 Zucker N, Rozin I, Levitas A, Zalzstein E. Clinical Presentation, natural history and outcome of patients with absent pulmonary valve syndrome. Cardiol Young 2004;14:402-8.
  • 4 Volpe P, Paladini D, Marasini M, Buonadonna AL, Russo MG, Caruso G, et al . Charachteristisc, associations and outcome of absent pulmonary valve syndrome in the fetus. Ultrasound Obstet Gynecol 2004;24:623-8.
  • 5 Callan NA, Kan JS. Prenatal diagnosis of tetralogy of Fallot with absent pulmonary valve. Am J Perinatol 1991;8:15-7.