Left hemitruncus associated with tetralogy of fallot: fetal diagnosis and postnatal echocardiographic and cardiac computed tomographic confirmation.
Anomalous origin of one pulmonary artery from the aorta, or hemitruncus, is a rare cardiac malformation. We report a case of left hemitruncus (aortic origin of the left pulmonary artery) associated with tetralogy of Fallot diagnosed in utero. To the authors' knowledge, this is the first such case diagnosed by fetal echocardiography to be described in the literature. The condition was documented by postnatal echocardiogram and cardiac computed tomography. Prompt recognition of this lesion is essential for early repair to improve outcome.
Diab
Karim
K
Department of Pediatrics, Scott and Laura Eller Congenital Heart Center, St Joseph Hospital and Medical Center, Phoenix, AZ 85013, USA. karim.diab@chw.edu
Richardson
Randy
R
Pophal
Stephen
S
Alboliras
Ernerio
E
D001013:Aorta, Thoracic / Q000002:abnormalities* / Q000601:surgery; D055424:Cardiac-Gated Imaging Techniques; D004452:Echocardiography; D005260:Female; D006801:Humans; D007091:Image Processing, Computer-Assisted; D021621:Imaging, Three-Dimensional; D007231:Infant, Newborn; D011247:Pregnancy; D011262:Pregnancy Trimester, Second; D011651:Pulmonary Artery / Q000002:abnormalities* / Q000601:surgery; D013771:Tetralogy of Fallot / Q000175:diagnosis* / Q000601:surgery; D036542:Tomography, Spiral Computed; D016216:Ultrasonography, Prenatal