scholarly journals Prenatally diagnosed foramen ovale restriction in fetuses with hypoplastic left heart syndrome may be a predictor of longer hospitalization, but not of a need for an urgent rashkind procedure

2019 ◽  
Vol 90 (1) ◽  
pp. 31-38 ◽  
Author(s):  
Lukasz Sokolowski ◽  
Maria Respondek-Liberska ◽  
Marek Pietryga ◽  
Maciej Slodki
Keyword(s):  
Hypoplastic Left Heart Syndrome ◽  
Left Heart ◽  
Foramen Ovale ◽  
Hypoplastic Left Heart ◽  
Left Heart Syndrome

Stenting of a restrictive foramen ovale in a patient with hypoplastic left heart syndrome

2006 ◽  
Vol 113 (2) ◽  
pp. 254-256 ◽  
Author(s):  
Andreas Eicken ◽  
Hans Peter Gildein ◽  
Christian Schreiber ◽  
Gunter Balling ◽  
John Hess
Keyword(s):  
Hypoplastic Left Heart Syndrome ◽  
Left Heart ◽  
Foramen Ovale ◽  
Hypoplastic Left Heart ◽  
Left Heart Syndrome ◽  
Restrictive Foramen Ovale

scholarly journals P20.08: Hypoplastic left heart syndrome with prenatally diagnosed foramen ovale restriction: diagnosis, management and outcome

2019 ◽  
Vol 54 (S1) ◽  
pp. 222-222
Author(s):  
A. Jadczak ◽  
L. Sokolowski ◽  
J. Chrzanowski ◽  
M. Respondek‐Liberska ◽  
M. Slodki
Keyword(s):  
Hypoplastic Left Heart Syndrome ◽  
Left Heart ◽  
Foramen Ovale ◽  
Hypoplastic Left Heart ◽  
Left Heart Syndrome

Hypoplasia of the eustachian valve and abnormal orientation of the limbus of the foramen ovale in hypoplastic left heart syndrome

1995 ◽  
Vol 130 (1) ◽  
pp. 148-152 ◽  
Author(s):  
Diane R. Remmell-Dow ◽  
Saroja Bharati ◽  
J.Terrance Davis ◽  
Maurice Lev ◽  
Hugh D. Allen
Keyword(s):  
Hypoplastic Left Heart Syndrome ◽  
Left Heart ◽  
Foramen Ovale ◽  
Hypoplastic Left Heart ◽  
Eustachian Valve ◽  
Left Heart Syndrome

Hypoplastic left heart syndrome with prenatally diagnosed foramen ovale restriction: diagnosis, management and outcome

2020 ◽  
pp. 1-8
Author(s):  
Anna Jadczak ◽  
Maria Respondek-Liberska ◽  
Łukasz Sokołowski ◽  
Jędrzej Chrzanowski ◽  
Giuseppe Rizzo ◽  
...  
Keyword(s):  
Hypoplastic Left Heart Syndrome ◽  
Left Heart ◽  
Foramen Ovale ◽  
Hypoplastic Left Heart ◽  
Left Heart Syndrome

scholarly journals Atrial septum stenting in a foetus with hypoplastic left heart syndrome and restrictive foramen ovale: an alternative to emergency atrioseptectomy in the newborn—a case report

2020 ◽  
Vol 4 (1) ◽  
pp. 1-4
Author(s):  
Andreas Tulzer ◽  
Wolfgang Arzt ◽  
Christoph Prandstetter ◽  
Gerald Tulzer
Keyword(s):  
Hypoplastic Left Heart Syndrome ◽  
Atrial Septum ◽  
Clinical State ◽  
Left Heart ◽  
Foramen Ovale ◽  
Severe Restriction ◽  
Hypoplastic Left Heart ◽  
Interatrial Communication ◽  
Exit Procedure ◽  
Left Heart Syndrome

Abstract Background In patients with hypoplastic left heart syndrome (HLHS) premature closure or restriction of the interatrial communication causes severe cyanosis directly after birth with rapid deterioration in clinical state. An ex-utero intrapartum treatment (EXIT) procedure, extracorporal membrane oxygenation (ECMO), and emergency interventional cardiac catheterization or cardiac surgery has to be anticipated and prepared. We report the first case performing foetal atrial septum stenting in such a patient directly before birth to enable uncomplicated interatrial shunting postnatally. Case summary A 31-year-old pregnant woman was referred to our centre for further evaluation of the foetus due to HLHS. In the follow-up study before birth severe restriction of the foramen ovale with increased retrograde flow in the pulmonary veins [0.33 ratio antegrade/retrograde time velocity integral (TVI)] was detected. After careful consideration foetal atrial septum stenting was performed at 38 + 3 weeks of gestation. At 39 + 2 weeks of gestation the baby was born by caesarean section followed by an uncomplicated postnatal adaption. On the 7th day of life a Norwood procedure was performed and the baby was discharged on the 63rd postoperative day. Discussion Evaluation of the interatrial communication in foetuses with HLHS should be done carefully just before birth. In the case of severe restriction or closure of the foramen ovale atrial septum stenting just before birth can be considered as an alternative treatment to an EXIT procedure, ECMO, or emergency atrioseptectomy on bypass. However, a very experienced team of paediatric cardiologists and perinatologists with expertise in foetal cardiac interventions is needed to perform this technical difficult procedure.

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