eISSN: 2449-6731
ISSN: 2449-6723
Prenatal Cardiology
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Case report

Prenatal diagnosis of TAPVC on Monday, delivery of Tuesday and cardiac surgery at wednesday - a model of perinatal care in 3rd trimester in case of fetal/neonatal critical heart defect in tertiary center

Maria Respondek-Liberska
1, 2
Łukasz Sokołowski
Maciej Słodki
1, 4
Katarzyna Zych-Krekora
Iwona Strzelecka
2, 5
Michał Krekora
Iwona Maroszyńska
Jadwiga Moll
Jacek Moll

  1. Department of Prenatal Cardiology, Polish Mother’s Memorial Hospital Research Institute
  2. Medical University of Lodz, Department of Diagnoses and Prevention Fetal Malformations Lodz, Poland
  3. Medical University of Lodz, Students Research Circle Prenatal Cardiology
  4. Institute of Health Sciences, The State School of Higher Professional Education in Płock, Poland
  5. Department of Nursing, Medical
  6. University of Lodz Department of Obstetrics & Gynecology Research Institute of Lodz
  7. Department of Intensive Care of Neonates and Congenital Malformations, Research Institute Polish Mother's Memorial Hospital
  8. Department of Pediatric Cardiology, Research Institute Polish Mother's Memorial Hospital
  9. Department of Pediatric Cardiac Surgery, Research Instiute Polish Mother's Memorial Hospital
Prenat Cardio 2016 Jan; 6(1):37-42
Online publish date: 2019/08/20
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Total anomalous pulmonary venous connection (TAPVC) is a congenital heart defect (CHD), in which all pulmonary veins connect to the systemic veins or to the right atrium/coronary sinus instead of the left atrium. We present a case report of fetus with prenatally diagnosed isolated infracardiac type of TAPVC in 38th week of gestation. In fetal echocardiographic examination performed in the Department of Prenatal Cardiology, the fetus presented lack of visible pulmonary veins connection to left atrium, abnormal venous confluence behind left atrium, additional vein leading from abdominal cavity to mediastinum and abnormal smooth Doppler blood flow in pulmonary confluence. The accurate prenatal diagnosis allowed to deliver the neonate at term, in tertiary center one day after diagnosis, and to perform surgical reposition of pulmonary veins the following day. The neonate was referred home in a good condition after 28 days of hospitalization. This case is a good example of the value of the 3rd trimester echocardiography.

total anomalous pulmonary venous return, prenatal diagnosis, fetal echocardiography

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