Prenatal diagnosis of a left superior vena cava draining into the left atrium and atrial septal defect with ventricular septal defect

[摘要] Raghib syndrome is an infrequent developmental syndrome.It consists of the draining of a left superior vena cava (LSVC)into the left atrium (LA), the lack of the coronary sinus(CS), and an atrial septal defect (ASD) at the posteriorinferior angle of the atrial septum. Clinically, the increasedpulmonary blood flow and cyanosis are characteristicmalformations of Raghib syndrome (1). Further seriouscomplications, such as chronic hypoxemia, infection,necrotizing fasciitis, and brain abscess have been reported(2,3). Consequently, prenatal diagnosis of this syndromeis recommended. Both prenatal and postnatal ultrasounddiagnosis of this disease is very difficult and only a few caseshave been reported in fetus. We present here a rare caseof a LSVC draining into the LA and ASD located at theposterior-inferior angle of the atrial septum. This conditionwas diagnosed prenatally by echocardiography.

[学科分类] 外科医学