title: Unusual aortic valve anomaly in the fetus: a case report.
abstract: Aortic valve anomalies in fetal life usually concern aortic valve stenosis, in severe forms associated to left ventricular impairment - endocardial fibroelastosis and mitral valve insufficiency. Isolated aortic regurgitation in utero is infrequent and is usually considered to be due to a rare anomaly: aorto-left ventricular tunnel. We describe an unusual case of fetal aortic valve anomaly with severe dysplasia, with a marked regurgitant flow through the aortic valve, passing in a retrograde way from the duct, associated with a marked left ventricular endocardial fibroelastosis and dysfunction, resulting in the fatal outcome of the case.
authors.affiliation: Center of Fetal Cardiology, Policlinico San Donato IRCCS, Milan, Italy. cardiologiafetale.psd@grupposandonato.it
authors.forename: V
authors.initials: V
authors.lastname: Fesslova
authors.forename: C
authors.initials: C
authors.lastname: Boschetto
authors.forename: J
authors.initials: J
authors.lastname: Brankovic
authors.forename: E
authors.initials: E
authors.lastname: Bonacina
mesh_terms: D000328:Adult; D001021:Aortic Valve / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000196:embryology; D001022:Aortic Valve Insufficiency / Q000000981:diagnostic imaging / Q000196:embryology* / Q000473:pathology / Q000503:physiopathology; D002303:Cardiac Output, Low / Q000209:etiology; D018618:Echocardiography, Doppler, Color; D004695:Endocardial Fibroelastosis / Q000209:etiology; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D011247:Pregnancy; D011262:Pregnancy Trimester, Second; D047929:Term Birth; D016216:Ultrasonography, Prenatal