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2014-06-21-12 Hypoplastic left heart syndrome © Manohar www.TheFetus.net


Hypoplastic left heart syndrome


Sivasamy Manohar, MD.

Madurai, India. 

 

Case report

Following images and video show a case of hypoplastic left heart syndrome caused by combined mitral and aortic atresia diagnosed at 23 weeks of gestation.

Images 1, 2: 23 weeks of gestation; the images show transverse scan of the fetal thorax at the level of the four-chamber view of the heart with hypoplastic left heart syndrome (left ventricle is diminutive - LV, atretic mitral valve can be seen - arrow). RV - right ventricle, RA - right ventricle, LA - left atrium.

 

Images 3, 4: 23 weeks of gestation; the images show transverse scan of the fetal thorax at the level of the three-vessel-trachea view. Pulmonary artery is clearly seen (PA) without aortic component of the 3-vessel view.

 

Videos 1, 2: 23 weeks of gestation; the videos show color doppler scans of the fetal thorax with hypoplastic left heart syndrome. The left ventricle is diminutive without color flow. During the sweep from the four-chamber-view to the level of the three-vessel-view of the heart the aortic component is barely seen filled in reversed direction (red flow).

 

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