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2010-02-24-09 Answer to the case of the week #270 © Krasnov
Answer to the case of the week #270

June 17, 2010 - July 1, 2010

Alexander Krasnov
, MD*,
Irina Glazkova, MD*, Andrey Averyanov, MD*, Igor Mokryk, MD**. 

*  Donetsk`s regional specialized center of Medical Genetic and Prenatal Diagnosis, Ukraine
** Institute of Emergency and Reconstructive Surgery AMS of Ukraine.

Case report

A 28-year-old G3P1 was referred to our department at 35 weeks. We discovered a cardiac mass together with other heart abnormalities, pulmonary atresia and ventricular septal defect. Our differential diagnosis of the heart tumor included rhabdomyoma.
Cardiac surgery was performed after delivery. Unfortunately the neonate died after the surgery.
The histopathology report confirmed pulmonary atresia with ventricular septal defect. The tumor was a hamartoma.

Images 1,2: Image 1 shows a 4-chamber-view. Image 2 shows a cardiac mass.

Images 3-6: Cardiac mass.


Images 7-10: Images show left outflow tract.



Images 11: Hypoplastic pulmonary artery.

Images 12,13: Right outflow tract with a tumor.

Images 14-16: Doppler imaging demonstrates a dysplasia of the tricuspid valve.


Images 17,18: Image 17 shows a revers flow in the pulmonary artery. Image 18 shows a ventricular septal defect.


Image 19,20: Doppler imaging showing a ventricular septal defect.


Video 1,2: 4-chamber-view with a cardiac tumor.

Video 3,4: Video 3 shows outflow tracts and cardiac tumor. Video 4 shows Doppler imaging of the fetal heart, note the ventricular septal defect and dysplasia of the tricuspid valve.


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