title: Prenatal diagnosis of total anomalous pulmonary venous connection to the portal vein associated with right atrial isomerism.
abstract: We report the prenatal diagnosis of total anomalous pulmonary venous connection to the portal system in a 20-week fetus with right atrial isomerism. The apex of the fetal heart pointed to the left, the fetal stomach was on the right, there was a common atrioventricular valve, the left ventricle was small and the abdominal aorta and inferior vena cava were on the left side; all these features were suggestive of right atrial isomerism. An anomalous vein was connected to the portal vein which ascended above the diaphragm and ended in a confluence of pulmonary veins, posterior to the common atrium. Color Doppler imaging helped confirm the diagnosis of total anomalous pulmonary venous connection. The prenatal findings were confirmed on autopsy.
authors.affiliation: Sonoscan, Coimbatore, India. sonoscan@vsnl.com
authors.forename: S
authors.initials: S
authors.lastname: Boopathy Vijayaraghavan
authors.forename: A R
authors.initials: AR
authors.lastname: Rao
authors.forename: G
authors.initials: G
authors.lastname: Padmashree
authors.forename: M L
authors.initials: ML
authors.lastname: Raman
mesh_terms: D000328:Adult; D018618:Echocardiography, Doppler, Color / Q000379:methods; D005260:Female; D006325:Heart Atria / Q000002:abnormalities*; D006801:Humans; D011169:Portal Vein / Q000002:abnormalities*; D011247:Pregnancy; D011667:Pulmonary Veins / Q000002:abnormalities*; D016216:Ultrasonography, Prenatal / Q000379:methods*