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Bi WJ, Xiao YJ, Liu YJ, Hou Y, Ren WD. Berry syndrome: a case report and literature review. BMC Cardiovasc Disord 2021; 21:15. [PMID: 33407161 PMCID: PMC7788879 DOI: 10.1186/s12872-020-01837-y] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2020] [Accepted: 12/22/2020] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Berry syndrome, a rare combination of cardiac anomalies, consists of aortopulmonary window (APW); aortic origin of the right pulmonary artery; interrupted aortic arch (IAA) or hypoplastic aortic arch or coarctation of the aorta; and an intact ventricular septum. There is lack of review articles that elucidate the clinical features, diagnosis, treatment, and outcomes of Berry syndrome. This publication systematically reviews the 89 cases published since 1982 on Berry syndrome. CASE PRESENTATION A 38-year-old woman presented with a loud murmur and cyanosis. Transthoracic echocardiography demonstrated a severely dilated aorta and main pulmonary artery with a large intervening defect. Distal to the APW, the ascending aorta gave rise to the right pulmonary artery. Additionally, a type A IAA, an intact ventricular septum, and a large patent ductus arteriosus were revealed. Computed tomography angiography with 3-dimensional reconstruction confirmed above findings. This is the first report of a patient of this age with Berry syndrome who did not undergo surgery. CONCLUSIONS Berry syndrome is a rare but well-identified and surgically correctable anomaly. Patients with Berry syndrome should be followed up for longer periods to better characterize long-term outcomes.
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Affiliation(s)
- Wen-Jing Bi
- Department of Ultrasound, Shengjing Hospital of China Medical University, 36# of Sanhao St. Heping District, Shenyang, 110004, China
| | - Yang-Jie Xiao
- Department of Ultrasound, Shengjing Hospital of China Medical University, 36# of Sanhao St. Heping District, Shenyang, 110004, China
| | - Yue-Jia Liu
- Department of Ultrasound, Shengjing Hospital of China Medical University, 36# of Sanhao St. Heping District, Shenyang, 110004, China
| | - Yang Hou
- Department of Radiology, Shengjing Hospital of China Medical University, 36# of Sanhao St. Heping District, Shenyang, 110004, China
| | - Wei-Dong Ren
- Department of Ultrasound, Shengjing Hospital of China Medical University, 36# of Sanhao St. Heping District, Shenyang, 110004, China.
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Li W, Bin G, Jiang W, Shuang Y. Prenatal Diagnosis of Aortopulmonary Window by 2-Dimensional Echocardiography: Summary of 8 Cases. JOURNAL OF ULTRASOUND IN MEDICINE : OFFICIAL JOURNAL OF THE AMERICAN INSTITUTE OF ULTRASOUND IN MEDICINE 2019; 38:795-803. [PMID: 30312989 DOI: 10.1002/jum.14756] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/22/2018] [Indexed: 06/08/2023]
Abstract
Aortopulmonary window (APW) is a rare congenital heart anomaly. A total of 8 cases with APW confirmed by echocardiography and surgery were retrospectively reviewed and the echocardiographic features analyzed. Among the 8 APW cases, 5 were type II and 3 were type III, the latter of which includes 2 cases complicated with Berry syndrome. Prenatal echocardiography can provide accurate information for the diagnosis of fetal APW. The prognosis depends on the timing of surgery and the nature of the associated cardiac anomalies.
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Affiliation(s)
- Wenxiu Li
- Pediatric Cardiovascular Center, Beijing Anzhen Hospital, Capital Medical University, Beijing, China
| | - Geng Bin
- Pediatric Cardiovascular Center, Beijing Anzhen Hospital, Capital Medical University, Beijing, China
| | - Wu Jiang
- Pediatric Cardiovascular Center, Beijing Anzhen Hospital, Capital Medical University, Beijing, China
| | - Yang Shuang
- Pediatric Cardiovascular Center, Beijing Anzhen Hospital, Capital Medical University, Beijing, China
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Zhang X, Liu XW, Gu XY, Han JC, Hao XY, Fu YW, He YH. Prenatal diagnosis of Berry syndrome by fetal echocardiography: A report of four cases. Echocardiography 2018; 35:563-565. [PMID: 29430703 DOI: 10.1111/echo.13832] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
Berry syndrome is a rare congenital cardiac malformation. We describe 4 cases of Berry syndrome diagnosed by fetal echocardiography. Based on our experience, the three-vessel view is important for diagnosing the aortopulmonary window and aortic origin of the right pulmonary artery. Furthermore, the true cross-sectional and sagittal views obtained by continuously scanning from the three-vessel-trachea view to the long-axis view of the aortic arch are required to image the interruption or coarctation of the aortic arch. An early and accurate prenatal diagnosis of Berry syndrome is feasible and helps to improve patient outcomes.
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Affiliation(s)
- Xin Zhang
- Department 2 of Echocardiography, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.,Heart Center, Beijing Children's Hospital, Capital Medical University, Beijing, China
| | - Xiao-Wei Liu
- Department 2 of Echocardiography, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.,Fetal Heart Disease Maternal Fetal Medicine Research Important Laboratories in Beijing, Beijing, China.,Beijing Lab for Cardiovascular Precision Medicine, Beijing, China
| | - Xiao-Yan Gu
- Department 2 of Echocardiography, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.,Fetal Heart Disease Maternal Fetal Medicine Research Important Laboratories in Beijing, Beijing, China.,Beijing Lab for Cardiovascular Precision Medicine, Beijing, China
| | - Jian-Cheng Han
- Department 2 of Echocardiography, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.,Fetal Heart Disease Maternal Fetal Medicine Research Important Laboratories in Beijing, Beijing, China.,Beijing Lab for Cardiovascular Precision Medicine, Beijing, China
| | - Xiao-Yan Hao
- Department 2 of Echocardiography, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.,Fetal Heart Disease Maternal Fetal Medicine Research Important Laboratories in Beijing, Beijing, China.,Beijing Lab for Cardiovascular Precision Medicine, Beijing, China
| | - Yu-Wei Fu
- Department 2 of Echocardiography, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.,Fetal Heart Disease Maternal Fetal Medicine Research Important Laboratories in Beijing, Beijing, China.,Beijing Lab for Cardiovascular Precision Medicine, Beijing, China
| | - Yi-Hua He
- Department 2 of Echocardiography, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.,Fetal Heart Disease Maternal Fetal Medicine Research Important Laboratories in Beijing, Beijing, China.,Beijing Lab for Cardiovascular Precision Medicine, Beijing, China
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