{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:02:17Z","timestamp":1756425737516,"version":"3.44.0"},"reference-count":22,"publisher":"BMJ","issue":"11","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,9,28]]},"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:p>Truncus arteriosus, interrupted aortic arch and amniotic band syndrome are rare conditions. We report a case of a 38-year-old pregnant woman who was diagnosed on a routine morphological ultrasound scan with a Van Praagh type A4 persistent truncus arteriosus with an aortic arch interruption type B and abnormal limbs (oedematous left hand, hypoplastic fingers on the right hand and right big toe amputation). Elective termination of the pregnancy was carried out and the pathological examination confirmed all the sonographic findings. Furthermore, an amniotic band parallel to the umbilical cord undetected during the ultrasound scans was revealed, and was entangled around the right hand, left wrist and the umbilical cord, causing strangulation. We present the unusual association of these independent pathologies and emphasise the usefulness of fetal autopsy in all cases of pregnancy termination and abnormal ultrasound findings to make the complete diagnosis.<\/jats:p>","DOI":"10.1136\/bcr-2020-236049","type":"journal-article","created":{"date-parts":[[2020,11,4]],"date-time":"2020-11-04T16:36:57Z","timestamp":1604507817000},"page":"e236049","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Prenatal diagnosis of truncus arteriosus with interrupted aortic arch and abnormal limbs due to an umbilical cord amniotic band: rare entities with an unusual association"],"prefix":"10.1136","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2762-0704","authenticated-orcid":false,"given":"Albert","family":"Guarque-Rus","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Joan XXIII University Hospital, Tarragona, Spain"},{"name":"Pere Virgili Health Research Institute, Reus, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lourdes","family":"Mart\u00edn-Gonz\u00e1lez","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Joan XXIII University Hospital, Tarragona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Linda Grace","family":"Puerto-Tamayo","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Joan XXIII University Hospital, Tarragona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julieta","family":"Landeyro","sequence":"additional","affiliation":[{"name":"Department of Pathology, Joan XXIII University Hospital, Tarragona, Spain"},{"name":"Department of Pathology, Pius Hospital de Valls, Valls, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2020,11,4]]},"reference":[{"key":"2025082722240340000_13.11.e236049.1","doi-asserted-by":"crossref","first-page":"743","DOI":"10.1016\/S0140-6736(15)60692-4","article-title":"Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990\u20132013: a systematic analysis for the global burden of disease study 2013","volume":"386","author":"Vos","year":"2015","journal-title":"The Lancet"},{"key":"2025082722240340000_13.11.e236049.2","doi-asserted-by":"publisher","DOI":"10.1016\/0735-1097(94)90391-3"},{"key":"2025082722240340000_13.11.e236049.3","first-page":"e409","article-title":"An update on amniotic bands sequence","volume":"116","author":"L\u00f3pez-Mu\u00f1oz","year":"2018","journal-title":"Arch Argent Pediatr"},{"key":"2025082722240340000_13.11.e236049.4","unstructured":"McDonald-McGinn DM , Emanuel BS , Zackai EH , et al Adam M , Ardinger H , Pagon R , et al , eds. 22q11.2 Deletion syndrome. 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