Case report

Following images and videos show a case of Ebstein's anomaly diagnosed at 21st week of pregnancy of a primigravida with non contributive history.

Images 1, 2, 3: 21 weeks of pregnancy; images 1 and 2 show transverse scans of the fetal thorax at the level of the four-chamber view of the heart with a massive enlargement of the right atrium. Tricuspid valve is apically displaced. Image 3 shows a three-vessel view of the heart with altered arrangement of the great vessels with the aorta seen more anteriorly.

RA - right atrium; LA - left atrium; RV - right ventricle; LV - left ventricle; SVC - superior vena cava; pa - pulmonary artery; ao - aorta.

 



Images 4, 5, 6: 21 weeks of pregnancy; images 4 and 5 show transverse scans of the fetal thorax at the level of the four-chamber of the heart with color Doppler jet of tricuspid regurgitation starting from apical level of the right ventricle. Image 6 shows spectral Doppler of the tricuspid velve with regurgitation.

 

 

Videos 1, 2, 3, 4: 21 weeks of pregnancy; videos 1 and 2 show transverse scans of the fetal thorax at the level of the four-chamber view of the heart with a massive enlargement of the right atrium. Tricuspid valve is apically displaced. Video 3 shows a three-vessel view of the heart with altered arrangement of the great vessels with the aorta seen more anteriorly. Video 4 shows show transverse scan of the fetal thorax at the level of the four-chamber of the heart with color Doppler jet of tricuspid regurgitation starting from apical level of the right ventricle.