Prenatal diagnosis of interrupted aortic arch and oesophageal atresia – monitoring and postnatal management with positive outcome – case report

Łucja H. Biały; Oskar Sylwestrzak; Iwona Maroszyńska; Anna Piaseczna-Piotrowska; Piotr Grzelak; Tomasz Moszura; Katarzyna Januszewska; Edward Malec

doi:10.5114/pcard.2023.135725

eISSN: 2449-6731
ISSN: 2449-6723

Prenatal Cardiology

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abstract:

Case report

Prenatal diagnosis of interrupted aortic arch and oesophageal atresia – monitoring and postnatal management with positive outcome – case report

Łucja H. Biały

¹

,

Oskar Sylwestrzak

¹

,

Iwona Maroszyńska

²

,

Anna Piaseczna-Piotrowska

³

,

Piotr Grzelak

⁴

,

Tomasz Moszura

⁵

,

Katarzyna Januszewska

⁶

,

Edward Malec

⁶

Department for Prenatal Cardiology, Polish Mother’s Memorial Hospital – Research Institute in Lodz, Poland
Clinic of Intensive Care and Congenital Defects of Newborns and Infants, Polish Mother’s Memorial Hospital – Research Institute in Lodz, Poland
Department of Surgery, Paediatric Urology and Transplantology, Polish Mother’s Memorial Hospital – Research Institute in Lodz, Poland
Department of Diagnostic Imaging, Polish Mother’s Memorial Hospital – Research Institute in Lodz, Poland
Cardiology Clinic, Polish Mother’s Memorial Hospital – Research Institute in Lodz, Poland
Cardiac Surgery Clinic, Polish Mother’s Memorial Hospital – Research Institute in Lodz, Poland

Prenat Cardio 2023; 13 (1): 47-50

DOI: https://doi.org/10.5114/pcard.2023.135725

Online publish date: 2024/02/26

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AMA

Biały Ł, Sylwestrzak O, Maroszyńska I, et al. Prenatal diagnosis of interrupted aortic arch and oesophageal atresia – monitoring and postnatal management with positive outcome – case report. Prenatal Cardiology. 2023;(1):47-50. doi:10.5114/pcard.2023.135725.

APA

Biały, Ł., Sylwestrzak, O., Maroszyńska, I., Piaseczna-Piotrowska, A., Grzelak, P.,  & Moszura, T. et al. (2023). Prenatal diagnosis of interrupted aortic arch and oesophageal atresia – monitoring and postnatal management with positive outcome – case report. Prenatal Cardiology, (1), 47-50. https://doi.org/10.5114/pcard.2023.135725

Chicago

Biały, Łucja H., Oskar Sylwestrzak, Iwona Maroszyńska, Anna Piaseczna-Piotrowska, Piotr Grzelak, Tomasz Moszura,  and Katarzyna Januszewska et al. 2023. "Prenatal diagnosis of interrupted aortic arch and oesophageal atresia – monitoring and postnatal management with positive outcome – case report". Prenatal Cardiology  (1): 47-50. doi:10.5114/pcard.2023.135725.

Harvard

Biały, Ł., Sylwestrzak, O., Maroszyńska, I., Piaseczna-Piotrowska, A., Grzelak, P., Moszura, T., Januszewska, K.,  and Malec, E. (2023). Prenatal diagnosis of interrupted aortic arch and oesophageal atresia – monitoring and postnatal management with positive outcome – case report. Prenatal Cardiology, (1), pp.47-50. https://doi.org/10.5114/pcard.2023.135725

MLA

Biały, Łucja H. et al. "Prenatal diagnosis of interrupted aortic arch and oesophageal atresia – monitoring and postnatal management with positive outcome – case report." Prenatal Cardiology, no. 1, 2023, pp. 47-50. doi:10.5114/pcard.2023.135725.

Vancouver

Biały Ł, Sylwestrzak O, Maroszyńska I, Piaseczna-Piotrowska A, Grzelak P, Moszura T et al. Prenatal diagnosis of interrupted aortic arch and oesophageal atresia – monitoring and postnatal management with positive outcome – case report. Prenatal Cardiology. 2023;(1):47-50. doi:10.5114/pcard.2023.135725.

PlumX metrics:

This paper presents a rare case of a fetus with more than one “lethal” malformation complex heart defect: interrupted aortic arch (IAA) with atrio-ventricular canal, oesophageal atresia, and agenesis corpus callosum. Prenatal diagnosis allowed for transfer in utero, and fetal echocardiography longitudinal monitoring to confirm fetal well-being and to avoid prematurity. Delivery happened in a tertiary centre, and there was an early postnatal surgery: on the 2nd day a successful thoracoscopic repair of the oesophagus was done, and on the ninth day binding of both pulmonary arteries was set up. Despite the poor prognosis at the time of prenatal detection of malformations, our patient was discharged home after a 54-day hospital stay, in good postnatal clinical condition. It is the first case from our unit dealing with congenital malformations presenting a fetus and neonate who required 2 surgeries early after birth (thoracoscopy for oesophageal repair and palliative cardiac surgery – binding of pulmonary arteries) with positive outcome, representing a milestone for prenatal malformations from the perspective of a tertiary centre.

keywords:

Prenatal diagnosis of interrupted aortic arch and oesophageal atresia – monitoring and postnatal management with positive outcome – case report

Łucja H. Biały 1 , Oskar Sylwestrzak 1 , Iwona Maroszyńska 2 , Anna Piaseczna-Piotrowska 3 , Piotr Grzelak 4 , Tomasz Moszura 5 , Katarzyna Januszewska 6 , Edward Malec 6

CHD, interrupted aortic arch, oesophageal atresia

Łucja H. Biały

¹

,

Oskar Sylwestrzak

¹

,

Iwona Maroszyńska

²

,

Anna Piaseczna-Piotrowska

³

,

Piotr Grzelak

⁴

,

Tomasz Moszura

⁵

,

Katarzyna Januszewska

⁶

,

Edward Malec

⁶