Fetal medicine unit – Cairo university- Egypt
Case report
A female patient (G3P2) with unremarkable history, no consanguinity and two previous normal child, came to our unit at 30 weeks of pregnancy for routine ultrasound.
Our examination revealed an aortic valve with thickened valve leaflets, and lack of complete valve opening during systole with post- stenotic dilation of ascending aorta; color Doppler shows turbulent flow across the aortic valve and pulsed Doppler reveals high peak systolic velocity of greater than 200 cm/sec.
Pulmonary valve was seen echogenic , with abnormal excursion, thickened & dysplastic. Valve leaflets were visible within the pulmonary artery throughout the cardiac cycle with post stenotic dilation. Color Doppler shows turbulent flow across the pulmonary valve and pulsed Doppler reveals high peak systolic velocity of greater than 200 cm/sec.
Based on our ultrasound and Doppler findings, the diagnosis was combined valvular aortic and valvular pulmonary stenosis (mild form for both lesion).
The patient delivered by C section ( at tertiary centre ) and baby was fine post natallly, with no need for incubator.
Combined valvular aortic stenosis and valvular pulmonary stenosis was confirmed after birth and the baby is doing well until now.
Image 1 and 2: four chamber view during systole &and diastole looks normal.