SHERP

Premature Closure of Foramen Ovale without Hypoplastic Left Heart Syndrome (An Autopsy Case)
좌심저형성을 동반하지 않은 난원공 조기폐쇄(1부검증례)

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Authors
Chung, Doo Hyun; Suh, Jin Suk; Chi, Je G.; Kim, Kyu Rae
Issue Date
1990-03
Publisher
Seoul National University College of Medicine
Citation
Seoul J Med 1990;31(1):53-56
Keywords
Congenital Heart DiseaseAtrial septumForamen ovaleMalformationPulmonary lymphangiectasia
Abstract
An autopsy case is described of a premature closure of the foramen ovale with
a marked dilatation of the left atrium and an intact ventricular septum with aortic atresia but
without left ventricular hypoplasia. This 28-week-old male baby was a stillborn to a
34-year-old multiparous mother. An intrauterine sonogram revealed marked ascites with anasarca,
an enlarged left atrium and ventricle, a small right ventricle and breech presentation.
An artificial delivery was done under the impression of congenital heart disease with hydrops
fetalis.
The heart weighed 20 gm, and the left atrium and ventricle were dilated. The foramen
ovale was completely closed with rudimentary fossa ovalis. Fibroelastosis was present in the
right atrium and ventricle. Both lungs were trilobed and showed lymphangiectasia. It was
presumed that in this case, the premature closure of the foramen ovale was the primary
event, and the aortic atresia was secondary.
ISSN
0582-6802
Language
English
URI
http://hdl.handle.net/10371/7304
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Appears in Collections:
College of Medicine/School of Medicine (의과대학/대학원)Dept. of Medicine (의학과)The Seoul Journal of MedicineThe Seoul Journal of Medicine Vol. 31 No.1 (1990)
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