Absent pulmonary valve syndrome, 40 weeks

F Cuillier, M Mardamootoo

Department of Gynecology, Felix Guyon Hospital, Saint-Denis, Reunion, France.

Case report

A 32-year-old-woman (G1P0), with non-contributive history, was referred to our unit at 40 weeks of gestation because of suspicion of a cardiac anomaly. Our ultrasound revealed enlarged pulmonary artery and its branches, regurgitation at the level of the pulmonary valve, and perimembranous ventricular septal defect. Absent pulmonary valve syndrome was suspected. The baby was delivered a few hours after our examination and the diagnosis of the absent pulmonary valve syndrome was confirmed.

Images 1, 2: The images show left outflow tract of the fetal heart with perimembranous ventricular septal defect.

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Images 3, 4, 5, and 6: The images show dilated branches of the pulmonary artery and regurgitation with turbulent flow at the level of the pulmonary valve region (images 5, 6).

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Videos 1, 2: The videos show aorta overriding the ventricular septal defect and dilated branches of the pulmonary artery as a consequence of the absent pulmonary valve syndrome.


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