Anatomically corrected malposition of the great arteries: a challenging fetal diagnosis

Anatomically corrected malposed great arteries are uncommon and benign entity. Basically, this occurs with ventriculoarterial concordance in which the great vessels arise parallel instead of a twisting fashion. In this manuscript, we described two cases in which the antenatal diagnosis of anatomical...

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Bibliographic Details
Published in:The journal of maternal-fetal & neonatal medicine 2019-09, Vol.32 (18), p.3097-3101
Main Authors: Bravo-Valenzuela, Nathalie Jeanne, Carrilho, Milene Carvalho, Peixoto, Alberto Borges, Bezerra, Marilim Souza, Araujo Júnior, Edward
Format: Article
Language:English
Subjects:
Adult
Echocardiography
Fatal Outcome
Female
Fetal Heart - diagnostic imaging
Humans
Infant, Newborn
Male
Pregnancy
Transposition of Great Vessels - diagnosis
Transposition of Great Vessels - embryology
Transposition of Great Vessels - pathology
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Summary:Anatomically corrected malposed great arteries are uncommon and benign entity. Basically, this occurs with ventriculoarterial concordance in which the great vessels arise parallel instead of a twisting fashion. In this manuscript, we described two cases in which the antenatal diagnosis of anatomically corrected malposition of great arteries was suspected and confirmed during the postnatal period. During the fetal life, this diagnosis remains a challenge and this condition is often misdiagnosed as the transposition of the great arteries (TGA). Differently to TGA, anatomically corrected malposition of the great arteries may not require any cardiac surgical intervention depending on the associated cardiac anomalies. Indeed, postnatal examination for concerns related to anomalies that can be associated with this condition, such as anomalous origins of coronary arteries and left ventricular outflow tract obstruction, should be performed.
ISSN:1476-7058
1476-4954
DOI:10.1080/14767058.2018.1457640