Absence of the aortic valve: Antenatal and postnatal two-dimensional and Doppler echocardiographic features

Fredrick Z. Bierman, Ming Neng Yeh, Steven Swersky, Eric Martin, Joachim H. Wigger, Harold Fox

Research output: Contribution to journalArticle

Abstract

Antenatal and postnatal two-dimensional and gated pulsed Doppler echocardiography, beginning at 32 weeks' gestation, were used to evaluate the cardiovascular contribution to nonimmunologic hydrops in a gravida 1, para 0 nineteen year old woman. Antenatal two-dimensional imaging demonstrated a hypoplastic left heart variant of complete common atrioventricular (AV) canal. Antenatal gated pulsed Doppler examination of the fetal thoracoabdominal aorta revealed atypical pandiastolic retrograde flow. Postnatal noninvasive examination at 36 weeks' gestational age was unchanged from the prenatal study. Postmortem examination confirmed the noninvasive anatomic findings and revealed polysplenia. The mechanism of pandiastolic retrograde flow was attributable to "absence of the aortic valve," a previously unreported congenital cardiac anomaly, which resulted in severe antenatal and postnatal aortic regurgitation.

Original languageEnglish (US)
Pages (from-to)833-837
Number of pages5
JournalJournal of the American College of Cardiology
Volume3
Issue number3
DOIs
StatePublished - Jan 1 1984

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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