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2015-02-02-22 Case of the week #389 © Sameh Abdel Latif Abdel Salam www.TheFetus.net 

Answer to the case of the week #389

February 26, 2015 - March 12, 2015

Sameh Abdel Latif Abdel Salam, M.Sc.*; Islam Badr, M.Sc.**; Mahmoud Alalfy, M.Sc.***

* Radiodiagnosis department, Kasr Alainy teaching hospitals, Cairo university, Egypt;
** Fetal medicine unit, Cairo university, Egypt;
*** Obstetric and gynecology department, National research center, Egypt.
 

Case report

This case represents a rare association between partial atrioventricular septal defect and type B of aortic arch interruption.

The images and videos show following findings:

- Large ostium primum atrial septal defect with partial septation in the atrioventricular canal with two atrioventricular orifices (mitral guarded by two leaflets and tricuspid orifice guarded by three leaflets; one of them is seen having septal attachment);

- V-shaped appearance of the aortic arch with small caliber of the ascending aorta and aortic arch compared to the ductus arteriosus denoting type B of the aortic arch interruption.

The images and video-clips do not demonstrate origin of the left subclavian artery and if there is aberrant right one or not

The parents opted for the termination of the pregnancy. The parent's had refused chromosomal analysis of the fetus.

 

 

 

 

 



 

 

 

Note from the website's editors
Philippe Jeanty, Frantisek Grochal

Drawing shows three types of aortic arch interruption. The case above represents type B of the aortic type interruption.
Ao - aorta; PA - pulmonary artery.




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