2013-10-12-09 Case of the week #356 © Krasnov www.TheFetus.net
Case of the week #356
October 24, 2013 - November 07, 2013
Alexander Krasnov, MD*; Andrew Averyanov, MD*; Irina Glazkova, MD*; Andrew Kurkevich, MD**; Larisa Golovakha, MD*; Anatoliy Malov, MD*** .
* Donetsk`s Regional Specialized Center of Medical Genetics and Prenatal Diagnostics, Ukraine;
** Scientific and Practical Medical Center of Pediatric Cardiology and Cardiac Surgery, Ukraine;
*** Donetsk National Medical University, Ukraine.
Case report
A 31-year old woman (G4P1) presented to our center at 12 weeks of pregnancy. Her family history was unremarkable and biochemical screening in the first trimester was normal (PAPP-A -0,93 MoM, Beta-hCG-0,56 MoM).
Our initial ultrasonographic examination raised suspicion of a congenital heart defect. Anatomical changes of the ventricles and major vessels were similar to those seen in tetralogy of Fallot.
Images 1-4:12 weeks of pregnancy;
Videos 1, 2: 12 weeks of gestation;
Second ultrasonographic examination was carried out at 21 weeks and revealed following findings:
Images 5-6: 21 weeks of pregnancy;
Images 7, 8: 21 weeks of pregnancy;
Images 9, 10, 11: 21 weeks of pregnancy;
Image 12: 21 weeks of pregnancy;
Images 13-17: 21 weeks of pregnancy;
Videos 3, 4, and 5:
Videos 6, 7, and 8:
When you have tried to solve the case on your own (no team work here please !) you can find the Answer