The Turkish Journal of Pediatrics
2017 , Vol 59 , Num 3
Clinical implications of prenatal diagnosis of aorto-left ventricular tunnel on postnatal treatment and final outcome
1 Cardiology and Cardiac Surgery Department, Mother and Child Health Institute of Serbia, Belgrade, Serbia2 School of Medicine, University of Belgrade, Belgrade, Serbia
3 Obstetrics and Gynaecology Clinic Narodni Front, Belgrade, Serbia
4 Pediatric Clinic, Clinical Centre Kragujevac, Kragujevac, Serbia
5 School of Medicine, University of Kragujevac, Serbia DOI : 10.24953/turkjped.2017.03.019 Kosutic J, Prijic S, Stajevic M, Kalaba M, Ninic S, Mikovic Z, Vujic A, Popović S. Clinical implications of prenatal diagnosis of aorto-left ventricular tunnel on postnatal treatment and final outcome. Turk J Pediatr 2017; 59: 342-344.
There are no more than 20 antenatally diagnosed aorto-left ventricular tunnel cases reported in the literature. In most of them the diagnosis was made indirectly and only after multiple fetal scans based on findings such as thick and dilated left ventricle and grossly dilated ascending aorta. We present a patient in whom a direct tunnel visualization and aorto-left ventricular tunnel diagnosis was made at the 30th gestation week after a single fetal scan using the recently introduced `cockade sign`. Clinical implications of antenatal diagnosis on postnatal treatment and outcome are also discussed.
Keywords : tunnel, fetus, newborn, heart failure