Search :     
Cases
2013-10-12-10 Case of the week #358 © Juan Pablo Gallo www.TheFetus.net 

 
Answer to the case of the week #358

November 21, 2013 - December 05, 2013

 

Juan Pablo Gallo, MD

Swiss Medical Center, Buenos Aires, Argentina.

Case report

A 33-year-old woman (G3P1) presented to our unit at 26 weeks of twin bi-chorionic, bi-amniotic gestation (XX and XY sex of the fetuses). The female fetus was unremarkable, but the male fetus had an abnormal appearance of the heart with a large diverticulum of the right ventricle. The finding was associated with an irregular rhythm of ventricular bigeminy.

After delivery the male baby underwent surgery and is doing well.

Images 1, 2: 26 weeks of gestation; the images show four-chamber-view of the heart with diverticula of the right ventricle.
LA - left atrium; LV - left ventricle; RV - right ventricle; RA right atrium; asterisk - diverticula of the right ventricle.

 

Videos 1, 2, 3: 26 weeks of gestation; the videos show gray scale and color Doppler scans of the heart with a large right ventricular outpouching, with unrestricted flow, across a large orifice and situated along the lateral free wall of the heart - diverticula of the right ventricle. The wall of the diverticula are contractile.

 

 

 
Back to case
Help Support TheFetus.net :