PMID- 34016078
OWN - NLM
STAT- MEDLINE
DCOM- 20211108
LR  - 20211108
IS  - 1471-2393 (Electronic)
IS  - 1471-2393 (Linking)
VI  - 21
IP  - 1
DP  - 2021 May 20
TI  - Prenatal diagnosis of an aberrant ductus venosus draining into the coronary sinus 
      using two- and three-dimensional echocardiography: a case report.
PG  - 392
LID - 10.1186/s12884-021-03870-x [doi]
LID - 392
AB  - BACKGROUND: Ductus venosus (DV) abnormalities may be associated with intracardiac 
      or extracardiac deformities, chromosomal anomalies, and/or congestive heart 
      failure. Aberrant DV connecting with the coronary sinus (CS) is rare and the 
      prenatal diagnosis presents challenges for most examiners. CASE PRESENTATION: A 
      35-year-old pregnant woman, gravida 2, para 1, was referred to our center at 27 
      gestational weeks for a full evaluation of fetal cardiac anomalies. Transverse 
      scans indicated normal cardiac anatomy except for a dilated CS; we then scanned 
      sagittal planes to clarify the reasons for the CS dilatation. High-definition 
      flow imaging (HDFI) together with radiant flow (R-flow) imaging was used to 
      delineate the aberrant DV returning to the CS, enabling the diagnosis. 
      Three-dimensional (3D) technology was also used to obtain color-rendered images 
      showing the spatial relationships of the vessels involved, thus confirming the 
      two-dimensional (2D) diagnosis. Chromosomal analysis revealed a normal karyotype. 
      The neonate appeared healthy and the echocardiogram showed a normal cardiac 
      anatomy except for a dilated CS with the DV closed and imperceptible. 
      CONCLUSIONS: The aberrant course of the DV returning to the CS was clearly 
      demonstrable by traditional 2D echocardiography using HDFI and the R-flow 
      technique. We deem it helpful to trace the inflow of the dilated CS to make the 
      differential diagnosis. The 3D modality might also provide additional spatial 
      information on the associated vessels and thereby assist in prenatal diagnosis.
FAU - Wang, Yu
AU  - Wang Y
AUID- ORCID: 0000-0002-7982-7179
AD  - Department of Ultrasound, Shengjing Hospital of China Medical University, 
      Liaoning, Shenyang, China.
FAU - Zhang, Ying
AU  - Zhang Y
AD  - Department of Ultrasound, Shengjing Hospital of China Medical University, 
      Liaoning, Shenyang, China. zhangying_cmu@sina.com.
FAU - Wang, Meilian
AU  - Wang M
AD  - Department of Microbiology and Parasitology, College of Basic Medical Sciences, 
      China Medical University, Liaoning, Shenyang, China. wangmeilian_m@hotmail.com.
LA  - eng
GR  - 345 Talent Project/345 Talent Project/
GR  - QGZD2018065/Science Foundation for The Excellent Youth Scholars of China Medical 
      University/
PT  - Case Reports
PT  - Journal Article
DEP - 20210520
PL  - England
TA  - BMC Pregnancy Childbirth
JT  - BMC pregnancy and childbirth
JID - 100967799
SB  - IM
MH  - Adult
MH  - Coronary Sinus/*abnormalities/*diagnostic imaging
MH  - Echocardiography
MH  - Female
MH  - Heart Defects, Congenital/*diagnostic imaging
MH  - Humans
MH  - Infant, Newborn
MH  - Pregnancy
MH  - Prenatal Diagnosis
MH  - Ultrasonography, Prenatal
PMC - PMC8136173
OTO - NOTNLM
OT  - 3D
OT  - Coronary sinus
OT  - Ductus venosus
OT  - Fetus
COIS- The authors declare that there is no competing interest.
EDAT- 2021/05/22 06:00
MHDA- 2021/11/09 06:00
PMCR- 2021/05/20
CRDT- 2021/05/21 05:36
PHST- 2021/03/14 00:00 [received]
PHST- 2021/05/10 00:00 [accepted]
PHST- 2021/05/21 05:36 [entrez]
PHST- 2021/05/22 06:00 [pubmed]
PHST- 2021/11/09 06:00 [medline]
PHST- 2021/05/20 00:00 [pmc-release]
AID - 10.1186/s12884-021-03870-x [pii]
AID - 3870 [pii]
AID - 10.1186/s12884-021-03870-x [doi]
PST - epublish
SO  - BMC Pregnancy Childbirth. 2021 May 20;21(1):392. doi: 10.1186/s12884-021-03870-x.