Prenatal Ultrasound Observation of Persistent Left Superior Vena Cava with Intracardiac Malformation

Mengxia Tang; Linkun Ta; Yanling Huang; Yongping Lu; Xiangbi Li; Jiafeng Yang

doi:10.12259/j.issn.2095-610X.S20230827

Volume 44 Issue 8

Aug. 2023

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Mengxia Tang, Linkun Ta, Yanling Huang, Yongping Lu, Xiangbi Li, Jiafeng Yang. Prenatal Ultrasound Observation of Persistent Left Superior Vena Cava with Intracardiac Malformation[J]. Journal of Kunming Medical University, 2023, 44(8): 100-104. doi: 10.12259/j.issn.2095-610X.S20230827

Citation:

Mengxia Tang, Linkun Ta, Yanling Huang, Yongping Lu, Xiangbi Li, Jiafeng Yang. Prenatal Ultrasound Observation of Persistent Left Superior Vena Cava with Intracardiac Malformation[J]. Journal of Kunming Medical University, 2023, 44(8): 100-104. doi: 10.12259/j.issn.2095-610X.S20230827

Citation:

Mengxia Tang, Linkun Ta, Yanling Huang, Yongping Lu, Xiangbi Li, Jiafeng Yang. Prenatal Ultrasound Observation of Persistent Left Superior Vena Cava with Intracardiac Malformation[J]. Journal of Kunming Medical University, 2023, 44(8): 100-104. doi: 10.12259/j.issn.2095-610X.S20230827

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Prenatal Ultrasound Observation of Persistent Left Superior Vena Cava with Intracardiac Malformation

doi: 10.12259/j.issn.2095-610X.S20230827

Dept. of Ultrasound，Affiliated Hospital of Yunnan University，Kunming Yunnan 650021，China

Received Date: 2023-05-27
Available Online: 2023-09-06
Publish Date: 2023-08-30

Abstract

Abstract

Objective To investigate the type and pregnancy evolution of persistent fetal left superior vena cava（PLSVC） complicated with intracardiac malformations. Methods The data of 90 fetal cases with persistent left superior vena cava were collected via imaging and patients’ case system of the Affiliated Hospital of Yunnan University. The types of congenital and external malformations and pregnancy outcomes of the fetus were retrospectively analyzed. Result PLSVC was diagnosed in 76（84.4%） fetuses at 22-24 weeks of systemic ultrasonography, and 14（15.6%） fetuses were found in late pregnancy. Among the 90 fetuses, 26（28.9%） had combined intracardiac anomalies, 21（23.3%） had combined extracardiac anomalies, and 50（55.5%） had uncomplicated anomalies. The most common intracardiac anomaly was aortic arch narrowing or arch dysplasia（34.6%）, followed by ventricular septal defect（26.9%）, and the most common extracardiac anomaly was single umbilical artery. Conclusion The persistent left superior vena cava is closely related to congenital heart disease. For fetuses with PLSVC, observation of cardiac function should be strengthened during pregnancy. In prenatal ultrasound screening, the section of innominate vein should be added to the section of four cavities and three vessels to improve the detection rate of PLSVC.
- Persistent left superior vena cava,
- Prenatal ultrasonography,
- Intracardiac malformation,
- Pregnancy outcome

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References(14)

References

[1]	李胜利, 罗国阳主编. 胎儿畸形产前超声诊断学[M]. 北京: 科学出版社, 2017: 333-334.
[2]	Chaoui R,Heling K-S,Karl K. Ultrasound of the fetal veins part 2: Veins at the cardiac level[J]. Ultraschall in der Medizin (Stuttgart,Germany,1980),2014,35(4):302-321.
[3]	Galindo A,Gutiérrez-Larraya F,Escribano D,et al. Clinical significance of persistent left superior vena cava diagnosed in fetal life.[J]. Ultrasound in Obstetrics & Gynecology,2007,30(2):152-161.
[4]	Gustapane S,Leombroni M,Khalil A,et al. Systematic review and meta-analysis of persistent left superior vena cava on prenatal ultrasound: associated anomalies,diagnostic accuracy and postnatal outcome.[J]. Ultrasound in Obstetrics & Gynecology,2016,48(6):701-708.
[5]	Yonehara K,Terada K,Morine M. Prenatal Diagnosis of Persistent Left Superior Vena Cava Raises Suspicion for Coarctation of Aorta[J]. Cureus,2022,14(10):e30220.
[6]	Agnoletti G,Annecchino F,Preda L,et al. Persistence of the left superior caval vein: can it potentiate obstructive lesions of the left ventricle?[J]. Cardiology in the Young,1999,9(3):285-290. doi: 10.1017/S1047951100004959
[7]	Kele A,Ylmaz O,Gülah Dadeviren,et al. Persistent left superior vena cava: Why is prenatal diagnosis important?[J]. Fetal and Pediatric Pathology,2022,41(4):592-602. doi: 10.1080/15513815.2021.1933662
[8]	Cao Q,Zhen L,Pan M,et al. Prenatal persistent left superior vena cava in low population: Not a benign vascular anomaly[J]. Taiwan residents Journal of Obstetrics & Gynecology,2022,61(3):459-463.
[9]	Rein A J,Nir A,Nadjari M. The coronary sinus in the fetus.[J]. Ultrasound Obstet Gynecol,2000,15(6):468-472. doi: 10.1046/j.1469-0705.2000.00142.x
[10]	Ma Mingming,Tan Yan,Chen Ran,et al. Comparison of coronary sinus diameter Z-scores in normal fetuses and fetuses with persistent left superior vena cava (PLSVC).[J]. The International Journal of Cardiovascular Imaging,2018,34(2):152-161.
[11]	Yokoyama Utako,Ichikawa Yasuhiro,Minamisawa Susumu,et al. Pathology and molecular mechanisms of coarctation of the aorta and its association with the ductus arteriosus.[J]. The Journal of Physiological Sciences,2017,67(2):259-270. doi: 10.1007/s12576-016-0512-x
[12]	Xu Ran,Zhou Dan,Liu Yushan,et al. Impaired Elastic Properties of the Ascending Aorta in Fetuses With Coarctation of the Aorta.[J]. Journal of the American Heart Association,2023,12(2):e028015. doi: 10.1161/JAHA.122.028015
[13]	朱昱霏,罗红,温激翔,孔丽娜,张琼月,杨琳. 冠状静脉及左无名静脉联合三血管气管切面在孕中期胎儿永存左上腔静脉诊断中的价值[J]. 实用妇产科杂志,2021,37(09):716-718.
[14]	Tuo Giulia,Paladini Dario,Marasini Lucia,et al. Fetal aortic coarctation: A combination of third-trimester echocardiographic parameters to improve the prediction of postnatal outcome[J]. Frontiers in Pediatrics,2022,10:866994. doi: 10.3389/fped.2022.866994

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