Diagnóstico prenatal y repercusiones perinatales de la persistencia de vena cava superior izquierda. Serie de casos y revisión bibliográfica

Savirón-Cornudella, R. (Universidad de Zaragoza) ; Lerma-Puertas, D. (Universidad de Zaragoza) ; Palacios-Lázaro, M. ; Adiego-Calvo, I. (Universidad de Zaragoza) ; Corona-Bellostas, C. (Universidad de Zaragoza) ; Cisneros-Gimeno, A. (Universidad de Zaragoza) ; López-Ramón, M. ; Deleón-Luis, J.

Resumen: OBJECTIVE: to describe the associated anomalies and perinatal results in fetuses diagnosed with persistence of the left superior vena cava and to conduct a review of the literature. MATERIALS AND METHODS: a descriptive, cross-sectional, retrospective study conducted between January 2009 and December 2012 in the Prenatal Diagnostic Unit of the Obstetrics and Gynecology Department at the Miguel Servet University Hospital in Zaragoza, Spain. The study included all fetuses with prenatal diagnosis of persistence of the left superior vena cava performed during gestational ultrasound controls in that period. RESULTS: 21 cases of persistence of the left superior vena cava were diagnosed between 20 and 35 weeks. Only 29% of the cases were detected on ultrasound at 20 weeks. 9 cases (43%) had associated cardiac or extracardiac anomalies and two cases (10%) associated trisomy 21, both with associated cardiac anomalies. In 4 cases (19%) there was an absence of right superior vena cava. In isolated cases, the evolution was favorable. CONCLUSIONS: The presence of persistence of the left superior vena cava is frequently associated with cardiac and extracardiac abnormalities, so in the case of diagnosis, detailed fetal morphological ultrasound and echocardiogram are justified with subsequent antenatal follow-up. In the case of being isolated, it has an obstetric evolution and a favorable perinatal prognosis, results that were also presented in isolated persistence of the left superior vena cava cases with absence of right superior vena cava.

Idioma: Español

DOI: 10.24245/gom.v86i4.1836

Año: 2018

Publicado en: Ginecología y obstetricia de México 86, 4 (2018), 257-266
ISSN: 0300-9041

Originalmente disponible en: Texto completo de la revista

Factor impacto SCIMAGO: 0.166 - Obstetrics and Gynecology (Q3) - Medicine (miscellaneous) (Q3)

Tipo y forma: Artículo (Versión definitiva)

Área (Departamento): Area Anatom.Embriol.Humana (Dpto. Anatom.Histolog.Humanas)
Área (Departamento): Área Obstetricia y Ginecología (Dpto. Cirugía,Ginecol.Obstetr.)
Área (Departamento): Área Cirugía (Dpto. Cirugía,Ginecol.Obstetr.)