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Unusual aortic valve anomaly in the fetus: a case report
V Fesslova1, C Boschetto, J Brankovic
1Center of Fetal Cardiology, Policlinico San Donato IRCCS, Milan, Italy. cardiologiafetale.psd@grupposandonato.it
Abstract:
Aortic valve anomalies in fetal life usually concern aortic valve stenosis, in severe forms associated to left ventricular impairment - endocardial fibroelastosis and mitral valve insufficiency. Isolated aortic regurgitation in utero is infrequent and is usually considered to be due to a rare anomaly: aorto-left ventricular tunnel. We describe an unusual case of fetal aortic valve anomaly with severe dysplasia, with a marked regurgitant flow through the aortic valve, passing in a retrograde way from the duct, associated with a marked left ventricular endocardial fibroelastosis and dysfunction, resulting in the fatal outcome of the case.
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