e-Article
Left atrial isomerism associated with asplenia: Prenatal echocardiography detection of complex congenital cardiac malformations
Document Type
Article
Source
Journal of the American College of Cardiology; November 1984, Vol. 4 Issue: 5 p1015-1020, 6p
Subject
Language
ISSN
07351097; 15583597
Abstract
Complex congenital heart disease with suspected isomerism of the atria was diagnosed in two fetuses of 20 and 29 weeks' gestation using two-dimensional and M-mode scanning techniques. The first pregnancy was terminated at 21 weeks' gestation and stillbirth occurred at 31 weeks' gestation in the second pregnancy. At postmortem examination, a thoracoabdominal discordancy was found; the spleen was absent and the arrangement of the abdominal vessels was as anticipated for asplenia, but the thoracic situs revealed a bilateral right-sided arrangement with left isomerism of the atria. The heart, otherwise, showed complex abnormalities as anticipated for asplenia.