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Table 1 The condition of PA/IVS fetuses in early pregnancy

From: Prenatal diagnosis of pulmonary atresia with intact ventricular septum: a single-center study in China

Case

Gestational week

Cardiac findings

Diagnosis

Extracardiac abnormalities

Outcome

1

13w0d

Hypoplastic RV. Retrograde ductus arteriosus flow. Multiple bidirectional turbulent flows within hypertrophied RV myocardium. Pericardial effusion (0.19 cm).

PA/IVS, VCAC, PE

NT thickening(3.2 mm), SUA

Termination, microanatomy

2

13w0d

Enhanced echogenicity of the tricuspid valve with slightly restricted opening. Moderate TR. Retrograde ductus arteriosus flow with smaller diameter than aortic flow.

PA/IVS

Reversed DV a-wave

PA/IVS with VCAC confirmed by echocardiography at 18 weeks. Selective fetal reduction.

3

12w4d

Hypoplastic RV. Retrograde ductus arteriosus flow with smaller diameter than aortic flow. Multiple bidirectional turbulent flows within hypertrophied RV myocardium.

PA/IVS, VCAC

Reversed DV a-wave

Termination

4

13w5d

Dilated right atrium and ventricle. Severe TR. Retrograde ductus arteriosus flow. Pericardial effusion (0.2 cm).

EA, PA/IVS, PE

NT thickening (7.0 mm), generalized cutaneous edema, nasal bone dysplasia

Termination

  1. RV: right ventricle; PA: pulmonary artery; PE: pericardial effusion; TR: tricuspid regurgitation