Prenatal echocardiographic diagnosis of right atrial isomerism.

Abstract:

:A prenatal diagnosis of right atrial isomerism is often inferred through the recognition of a constellation of cardiac anomalies on the four-chamber view or by the detection of visceral heterotaxy and asplenia. However, the actual occurrence of discordance between the arrangement of the atria and thoracic and abdominal organs makes the identification of the morphology of both atrial appendages the only reliable way to make a final diagnosis of atrial isomerism. Three cases of right atrial isomerism with visceral heterotaxy and a complex cardiac defect, diagnosed in utero by cross-sectional and colour flow Doppler echocardiography, are reported. In all the patients, the right atrial isomerism was associated with an atrioventricular septal defect, a single aortic outlet from the right ventricle, and total anomalous venous return. The diagnosis of right atrial isomerism, always confirmed by neonatal re-evaluation and/or by post-mortem examination, was made through identifying two pyramidal atrial appendages in an echocardiographic transverse plane at the level of the atria and of the origin of the great arteries. This report demonstrates that a final intrauterine diagnosis of atrial isomerism is possible, whatever the visceral situs is.

journal_name

Prenat Diagn

journal_title

Prenatal diagnosis

authors

Colloridi V,Pizzuto F,Ventriglia F,Giancotti A,Pachì A,Gallo P

doi

10.1002/pd.1970140410

subject

Has Abstract

pub_date

1994-04-01 00:00:00

pages

299-302

issue

4

eissn

0197-3851

issn

1097-0223

journal_volume

14

pub_type

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