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Aberrant Drainage of the Umbilical Vein Into the Coronary Sinus Without Ductus Venosus Agenesis
Authors:Foued Ben Brahim MD  Tristan Hazelzet MD  Laurence Cohen MD  Isabelle Durand MD  Julie Blanc MD  Elise Barre MD  Marie Brasseur Daudruy MD  Nadine David MD
Institution:1. Department of Obstetrics and Gynecology, Sud Francilien Hospital, Corbeil-Essonnes, France;2. Departments of Congenital Cardiology, Rouen University Hospital, Rouen, France;3. Congenital Cardiology, Massy, France;4. Pediatric and Fetal Radiology, Rouen University Hospital, Rouen, France
Abstract:We describe a case series of 4 fetuses with ectopic connections of the ductus venosus to the coronary sinus detected prospectively between August 2011 and February 2012 in 2 congenital cardiologic centers. An enlarged coronary sinus alerted the sonographer. Fetal echocardiography showed ectopic connection of the ductus venosus in an enlarged coronary sinus in all 4 cases. To our knowledge, this anatomic form of ectopic umbilical vein drainage has not previously been reported. The infants were doing well. This venous variant should be considered in cases of isolated coronary sinus dilatation after elimination of a left superior vena cava and a totally anomalous pulmonary vein connection.
Keywords:coronary sinus  ductus venosus  fetal echocardiography  fetus  obstetric ultrasound
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