KMID : 0358420160590050393
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Korean Journal of Obstetrics and Gynecology 2016 Volume.59 No. 5 p.393 ~ p.396
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An extremely rare case of prenatally diagnosed absent both aortic and pulmonary valves
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Yeon Hyeon-Kyeong
Lee Mi-Young Yoon Sun-Young Jung Hee-Jung Park Ji-Eun Shim Jae-Yoon Won Hye-Sung Lee Pil-Ryang Kim Ahm
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Abstract
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We describe a case of absent aortic and pulmonary valves, diagnosed at 16.4 weeks of gestation. Fetal echocardiography showed cardiomegaly with dilated both ventricles. No valve leaflets were observed in the aorta and pulmonary artery, and a typical to-and-fro flow pattern was noted in both great arteries on color Doppler imaging. Fetal hydrops was also detected. Follow-up ultrasonographic evaluation at 19 weeks demonstrated intrauterine fetal death. Postmortem autopsy revealed the absence of both aortic and pulmonary valve leaflets. To the best of our knowledge, this is the earliest diagnosed case of absent both aortic and pulmonary valves and only the second case to be diagnosed prenatally.
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KEYWORD
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Aortic valve, Congenital heart disease, Prenatal diagnosis, Pulmonary valve
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