Prenatal diagnosis of atrioventricular discordance with ventriculoarterial concordance by fetal echocardiography: A case report

Taiwan J Obstet Gynecol. 2022 Mar;61(2):372-377. doi: 10.1016/j.tjog.2022.02.032.

Abstract

Objective: To report an extremely rare case of atrioventricular discordance and ventriculoarterial concordance associated with a ventricular septal defect which was diagnosed prenatally.

Case report: By fetal echocardioraphy at 20 weeks' gestation, we diagnosed a rare case of atrioventricular discordance and ventriculoarterial concordance associated with a ventricular septal defect. This is the first case reported from Vietnam prenatally. We present our management of this pregnancy and the baby's neonatal course. This rare anomaly remains a challenge for the baby's early neonatal course before initial neonatal discharge.

Conclusion: A combined multidisciplinary and individualized approach for the optimal management of this complicated pregnancy and further neonatal surgical treatment plans for the baby are recommended.

Keywords: AV discordance; Congenital heart disease; Fetal echocardiography; Fetal ultrasound; Prenatal diagnosis.

Publication types

  • Case Reports

MeSH terms

  • Echocardiography*
  • Female
  • Fetus
  • Heart Septal Defects, Ventricular* / diagnostic imaging
  • Heart Septal Defects, Ventricular* / surgery
  • Humans
  • Infant
  • Infant, Newborn
  • Pregnancy
  • Prenatal Diagnosis
  • Ultrasonography, Prenatal