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Federación Mexicana de Ginecología y Obstetricia, A.C.

2018, Number 04

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Ginecol Obstet Mex 2018; 86 (04)

Prenatal diagnosis and perinatal results of the persistent left superior vena cava. Cases series and literature review

Savirón-Cornudella R, Lerma-Puertas D, Palacios-Lázaro M, Adiego-Calvo I, Corona-Bellostas C, Cisneros-Gimeno A, López-Ramón M, DeLeón-Luis J

Language: Spanish
References: 28
Page: 257-266
PDF size: 598.60 Kb.


ABSTRACT

Objective: to describe the associated anomalies and perinatal results in fetuses diagnosed with persistence of the left superior vena cava and to conduct a review of the literature.
Materials and Methods: a descriptive, cross-sectional, retrospective study conducted between January 2009 and December 2012 in the Prenatal Diagnostic Unit of the Obstetrics and Gynecology Department at the Miguel Servet University Hospital in Zaragoza, Spain. The study included all fetuses with prenatal diagnosis of persistence of the left superior vena cava performed during gestational ultrasound controls in that period.
Results: 21 cases of persistence of the left superior vena cava were diagnosed between 20 and 35 weeks. Only 29% of the cases were detected on ultrasound at 20 weeks. 9 cases (43%) had associated cardiac or extracardiac anomalies and two cases (10%) associated trisomy 21, both with associated cardiac anomalies. In 4 cases (19%) there was an absence of right superior vena cava. In isolated cases, the evolution was favorable.
Conclusions: The presence of persistence of the left superior vena cava is frequently associated with cardiac and extracardiac abnormalities, so in the case of diagnosis, detailed fetal morphological ultrasound and echocardiogram are justified with subsequent antenatal follow-up. In the case of being isolated, it has an obstetric evolution and a favorable perinatal prognosis, results that were also presented in isolated persistence of the left superior vena cava cases with absence of right superior vena cava.


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