Hypoplastic Left Heart Syndrome: A Case Report.

Han, Dai Hoon; Lee, Ho; Lee, Bong Woo; Seo, Joong Seok; Lee, Won Tae

Original article

Korean Journal of Legal Medicine 2002;26(1):86-90.
Published online May 31, 2002.

Hypoplastic Left Heart Syndrome: A Case Report.

Dai Hoon Han, Ho Lee, Bong Woo Lee, Joong Seok Seo, Won Tae Lee

¹Department of Forensic Medicine, Central District National Institute of Scientific Investigation, Korea. haraso@korea.com
²Division, Forensic Medicine, Central District National Institute of Scientific Investigation, Korea.

Abstract

A neonate was dead 2 days after birth. He seemed to be healthy at birth. In autopsy we revealed severe aortic valve hypoplasia, hypoplasia of the ascending aorta, stenosis of the mitral valve and hypoplasia of the left ventricle. Multiple obstructions in the left heart-aorta complex have been associated with poor survival. We diagnosed this case as hypoplastic left heart syndrome(HLHS). Prenatal diagnosis using echocardiography can identify the fetus that has complex congenital heart disease and may improve early management and surgical outcome such as HLHS. Though HLHS can be frequently diagnosed prenatally, this has not been shown to improve surgical outcome. In forensic medicine field, we propose clinicians to use prenatal diagnostic instrument such as echocardiography to detect HLHS and the forensic pathologists should know HLHS as a primary cause of death of neonate who had normal appearances at birth. Here we report a case of HLHS and review articles.

Key Words: Neonate, HLHS, Autopsy