Prenatal ultrasonographic diagnosis of Uhl anomaly

Research output: Contribution to journalArticle

Abstract

Uhl anomaly is an extremely rare condition, and herein, we present a case of prenatally diagnosed Uhl anomaly to illustrate the associated echocardiographic features. Fetal echocardiography at 26 weeks indicated an enlarged right ventricle, severe tricuspid and pulmonary regurgitation, and ruptured ventricular septal aneurysm, resulting in a circular shunt. At 36 weeks, based on the presence of a thin ventricular wall and absence of apical trabeculation, a diagnosis of Uhl anomaly was made. The neonate, delivered by cesarean section, underwent main pulmonary artery ligation to eliminate the circular shunt immediately after birth. Moreover, he underwent ductus arteriosus ligation and received a pulmonary artery to aorta shunt for progressive lung congestion. He is currently well and awaiting a staged Fontan operation involving a bidirectional Glenn procedure. Understanding and accurate prenatal diagnoses of Uhl anomaly may help in parental counseling, planning appropriate perinatal care, and increasing the chances of survival.
Original languageEnglish
Pages (from-to)1-4
JournalCase Reports in Perinatal Medicine
Volume4
Issue number1
Publication statusPublished - May 2015

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Prenatal Diagnosis
Fontan Procedure
Pulmonary Artery
Ligation
Pulmonary Valve Insufficiency
Perinatal Care
Ductus Arteriosus
Tricuspid Valve Insufficiency
Cesarean Section
Heart Ventricles
Aneurysm
Echocardiography
Aorta
Counseling
Parturition
Newborn Infant
Lung
Uhl anomaly

Cite this

Prenatal ultrasonographic diagnosis of Uhl anomaly. / Kato, Kiyoko.

In: Case Reports in Perinatal Medicine, Vol. 4, No. 1, 05.2015, p. 1-4.

Research output: Contribution to journalArticle

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