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2009-05-05-09 Answer to the case of the week #244 © Quiroga www.TheFetus.net


Answer to the case of the week #244

May 21, 2009 - June 11, 2009

Héctor Gonzalo Quiroga Pacheco, MD.

Centro Medico Profesional Rosancar. Barquisimeto. Venezuela.

 

Case report

The following images and video shows a case of a 32-year-old woman G3P2, with non contributive history and uncomplicated pregnancy, presented to our unit at 38th week of pregnancy. Her ultrasonographic examination (three-vessel view) revealed a ductus arteriosus aneurysm (DAA). The rest of the fetal anatomy was normal. Next day after the evaluation a cesarean was performed the fetus didn´t had any complication and the neonatal echocardiography confirmed the diagnosis. The DAA gradually decreased in size and finally spontaneously closed without medical or surgical intervention.

Images 1, 2: The images represent three-vessel-view of the heart with dilated ductus arteriosus.

 

Images 3, 4: The images show color Doppler and power Doppler scans of the fetal thorax at the level of the three-vessel-view of the heart with dilated ductus arteriosus.

 

Images 5, 6: The images represent three-vessel-view of the heart with dilated ductus arteriosus. The image 6 explains the structures visible on the image 5 - pulmonary artery and ductus arteriosus aneurysm in yellow, aorta in red and superior vena cava in blue.

 

Video 1: The video shows three-vessel-view of the heart with dilated ductus arteriosus.

 

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