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2013-06-01-09 Case of the week #350 © Grochal www.TheFetus.net 

Answer to the case of the week #350

August 01, 2013  - August 15, 2013 

Frantisek Grochal, MD.

Femicare, s.r.o., Center of prenatal ultrasonographic diagnostics, Martin, Slovak republic. Catholic University in Ruzomberok, Faculty of Health Care, Ruzomberok, Slovak Republic.



Case report

A 28-year-old woman (G1P0) with non-contributive history was sent to our facility at 21st week of gestation. Our ultrasound examination revealed marked levoposition of the heart caused by agenesis of the left lung. The newborn was delivered after premature rupture of membranes at 36 weeks and the diagnosis was confirmed postnatally. The child is doing well.

Images 1, 2, 3, 4, and videos 1, 2: 21 weeks of gestation; the images and videos show series of transverse scans of the fetal thorax with marked levoposition of the heart. Left lung is missing. No left pulmonary artery can be observed, but on the contrary the right one is very striking.

 

 

 

Images 5, 6 and video 3: 21 weeks of gestation; the images and videos show series of transverse scans of the fetal thorax with marked levoposition of the heart. Left lung is missing. No left pulmonary artery can be observed and the right one is very striking. Structures that are visible on the images and video are described on the larger image 3.

 



Videos 4, 5, 6, and 7: 21 weeks of gestation; the videos show series of scans of the fetal thorax with marked levoposition of the heart. Left lung is missing. No left pulmonary artery can be observed and the right one is very striking.

 

 

Images 7, 8
: 21 weeks of gestation; the image 7 shows deviated course of the aorta across the intact diaphragm (abnormal levoposition of the heart due to the left lung agenesis causes the atypical course of the aorta). The image 8 shows normal transverse view of the fetal abdomen at the level of the stomach.

 

 
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