TITLE:
Fetal Endocardial Fibroelastosis with Coarctation of Aortic Arch: A Case Report
AUTHORS:
Jing Ding, Biaohu Liu, Biyun Sun, Yun Hong
KEYWORDS:
Endocardial Fibroelastosis, Coarctation of the Aorta, Prenatal Ultrasound Diagnosis
JOURNAL NAME:
Case Reports in Clinical Medicine,
Vol.11 No.5,
May
27,
2022
ABSTRACT: This study describes a 34-year-old pregnant woman who underwent prenatal echocardiography at 24 weeks of gestation and found fetal heart abnormalities. She underwent fetal echocardiography in our hospital. Echocardiography showed complex malformation of fetal heart, thickening and calcification of left ventricular myocardium and tendon, weakening or even flattening of left ventricular wall movement, very severe mitral stenosis, severe mitral regurgitation, aortic stenosis, narrowing of the aortic arch, countercurrent of the ductal arch to aortic arch, small diameter of the oval foramen and significantly increased flow velocity. The patient decided to induce labor after expert consultation, but no autopsy was performed due to his family’s refusal. Color Doppler ultrasound can find the positive signs of endocardial elastofibroplasia earlier, and accurately diagnose patients with neonatal elastofibroplasia. It provides accurate diagnostic information for the clinic and can be used as the first choice. This report has obtained the informed consent of its parents.