Gebelik haftasında tespit edilen ventriküler septal defekt (VSD), büyük arter transpozisyonu ve situs inversus totalis: Olgu sunumu

Yıl 2004, Cilt: 35 Sayı: 3, 133 - 137, 01.04.2004

Levent Tütüncü Murat Muhcu Selami Süleymanoğlu Ercüment Müngen

Öz

Kalp anomalilerinin erken dönemde prenatal tanısının konulması hem ağır anomalisi olan gebeliklerin erken dönemde sonlandmlması hem de perinatal morbidite ve mortalitenin azaltılması açısından büyük önem taşımaktadır. Burada; 16. gebelik haftasında yapılan üçlü tarama testinde yüksek riskli olarak raporlanan ve amniyosentez öncesinde ayrıntılı ultrasonografik ve fetal ekokardiografik değerlendirme yapılarak, major kalp anomalisi saptanan bir olgu sunulmaktadır.

Anahtar Kelimeler

Kalp septal defekti, ventriküler, Doğum öncesi tanı, Büyük damarların transpozisyonu, Situs inversus

Gebelik haftasında tespit edilen ventriküler septal defekt (VSD), büyük arter transpozisyonu ve situs inversus totalis: Olgu sunumu

Öz

Early prenatal diagnosis of fetal cardiac anomalies can improve the care of infants by decreasing the perinatal morbidity and mortality, moreover in appropriate situations the family may choose the option of pregnancy termination. We report a case of major cardiac defect detected before amniocentesis by fetal echocardiography in a woman at 16th week of gestation, whose triple test were reported as screen positive.

Anahtar Kelimeler

Heart Septal Defects, Ventricular, Prenatal Diagnosis, Transposition of Great Vessels, Situs Inversus

Kaynakça

• 1. Simpson LL. Screening for congenital hearth disease. Obstet Gynecol Clin N Am 2004; 31: 51-59
• 2. Chaoui R. The four chamber view: four reasons why it seems to fail in screening for cardiac abnormalities and suggestions to improve detection rate. Ultrasound Obstet Gynecol 2003; 22: 3-10
• 3. Freidman AH, Kleinman CS, Copel JA. Diagnosis of cardiac defects: where we've been, where we are and where we're going. Prenat Diagn 2002; 22:280-4
• 4. Stoll C, Alembik Y, Dott B, Meyer MJ, Pennerath A, Peter MO, De Geeter B. Evaluation of prenatal diagnosis of congenital heart disease. Prenat Diagn 1998; 18: 801-7
• 5. Todros T. Prenatal diagnosis and management of fetal cardiovascular malformations. Curr Opin Obstet Gynecol 2000; 12: 105-9
• 6. Zosmer N, Souter VL, Chan CS, Huggon IC, Nikolaides KH. Early diagnosis of major cardiac defects in chromosomally normal fetuses with increased nuchal translucency Br J Obstet Gynaecol 1999; 106: 829-33
• 7. Todros T, Faggiano F, Chiappa E, Gaglioti P, Mitola B, Sciarrone A. Accuracy of routine ultrasonography in screening heart disease prenatally. Gruppo Piemontese for Prenatal Screening of Congenital Heart Disease. Prenat Diagn 1997; 17: 901-6, 8. Devore GR. The aortic and pulmonary outflow tract screening examination in the human fetus. Ultrasound Med 1992; 11:345-8
• 9. Fesslova V, Nava S, Villa L, and the Fetal Cardiology Study Group of the Italian Society of Pediatric Cardiology. Evaluation and long-term outcome in cases with fetal diagnosis of congenital heart disease: Italian multicentre study. Heart 1999; 82: 594-599
• 10. Kumar RK, Newburger JW, Gauvreau K, Kamenir SA, Hornberger LK. Comparison of outcome when hypoplastic left heart syndrome and transposition of the great arteries are diagnosed prenatally versus when diagnosis of these two conditions is made only postnatally. Am J Cardiol 1999; 83: 1649-53
• 11. Bjorkhem G, Jorgensen C, Hanseus K. Parental reactions of fetal echocardiography. J Matern Fetal Med 1997; 6: 87-92