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KMID : 0358420160590050393
Korean Journal of Obstetrics and Gynecology
2016 Volume.59 No. 5 p.393 ~ p.396
An extremely rare case of prenatally diagnosed absent both aortic and pulmonary valves
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
Abstract
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.
KEYWORD
Aortic valve, Congenital heart disease, Prenatal diagnosis, Pulmonary valve
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