Case report: Prenatal diagnosis of trisomy-18 with the VATER association.

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  • KIYOMIZU Miyo
    Department of Obstetrics and Gynecology, Kyoto Prefecture University of Medicine
  • UENO Tomonari
    Department of Obstetrics and Gynecology, Kyoto Prefecture University of Medicine
  • KANNO Hiroshi
    Department of Obstetrics and Gynecology, Kyoto Prefecture University of Medicine
  • FUKUOKA Masaaki
    Department of Obstetrics and Gynecology, Kyoto Prefecture University of Medicine
  • TSUKAMOTO Katumi
    Department of Obstetrics and Gynecology, Kyoto Prefecture University of Medicine
  • HONJO Hideo
    Department of Obstetrics and Gynecology, Kyoto Prefecture University of Medicine

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  • 出生前に診断しえたＶＡＴＥＲ連合を伴った１８‐ｔｒｉｓｏｍｙの１例

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The VATER association is a complex of multiple malformations, which may be an alteration in the mesodermal differentiation, rarely complicated with 18-trisomy. The patient (a 28-year-old Japanese female, nullipara, 31 weeks of gestation) was referred to our hospital due to premature labor, intrauterine growth retardation and hydroamnios. We suspected the VATER association from the findings of esophageal atresia, radial dysplasia, oligodactyly, single umbilical artery and univentricular heart by amniofetography and ultrasonography. The diagnosis of trisomy-18 was comfirmed by amniotic chromosomal examination. She was delivered vaginaly of a child in the 35 weeks of gestation. The apgar score of the 1372g female newborn at 1 and 5 min. were 1 and 2, respectively. After the birth, the diagnosis of truncs arteriosus was added. The infant died the next day. [Adv Obstet Gynecol 51 (4); 333 - 336, 1999 (H11.7)]

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