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A case of prenatally detected left isomerism and hemiazygos continuation of inferior vena cava
Authors:Behnaz Moradi MD  Najme‐Sadat Moosavi MD  Mohamad Ali Kazemi MD  Ahmad‐Reza Tahmasebpour MD  Farzaneh Fattahi Masrour MD
Affiliation:1. Department of Radiology, Tehran University of Medical Sciences, Tehran, Iran;2. Iranian Fetal Medicine Foundation, Hope Generation Foundation, Tehran, Iran
Abstract:Heterotaxy syndromes are defined as the disorders that involve abnormal arrangement of viscera. We present a case of prenatally diagnosed left isomerism in a 30‐year‐old primigravida woman referred to our hospital for complex cardiac abnormality. Sonographic findings included heart block, unbalanced atrioventricular septal defect, interruption of the inferior vena cava with hemiazygos continuation, double superior vena cava, a right‐sided stomach, and biliary atresia. The hemiazygos vein drained into the right atrium by the persistent left superior vena cava. This type of inferior vena cava interruption and continuation is rarely reported in prenatally detected cases of left isomerism. © 2017 Wiley Periodicals, Inc. J Clin Ultrasound 45 :430–433, 2017
Keywords:heterotaxy syndrome  left isomerism  prenatal diagnosis  congenital heart disease
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