A case of prenatally detected left isomerism and hemiazygos continuation of inferior vena cava

J Clin Ultrasound. 2017 Sep;45(7):430-433. doi: 10.1002/jcu.22464. Epub 2017 Mar 3.

Abstract

Heterotaxy syndromes are defined as the disorders that involve abnormal arrangement of viscera. We present a case of prenatally diagnosed left isomerism in a 30-year-old primigravida woman referred to our hospital for complex cardiac abnormality. Sonographic findings included heart block, unbalanced atrioventricular septal defect, interruption of the inferior vena cava with hemiazygos continuation, double superior vena cava, a right-sided stomach, and biliary atresia. The hemiazygos vein drained into the right atrium by the persistent left superior vena cava. This type of inferior vena cava interruption and continuation is rarely reported in prenatally detected cases of left isomerism. © 2017 Wiley Periodicals, Inc. J Clin Ultrasound 45:430-433, 2017.

Keywords: congenital heart disease; heterotaxy syndrome; left isomerism; prenatal diagnosis.

Publication types

  • Case Reports

MeSH terms

  • Abortion, Eugenic
  • Adult
  • Female
  • Heart Defects, Congenital / diagnostic imaging*
  • Humans
  • Isomerism
  • Pregnancy
  • Ultrasonography, Prenatal / methods*
  • Vena Cava, Inferior / abnormalities*
  • Vena Cava, Inferior / diagnostic imaging*