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A 22-year-old pregnant woman was referred for a detailed fetal echocardiogram because an abnormality of the fetal heart was suspected on routine antenatal scanning.
A 29-year-old pregnant woman was referred to our hospital for a detailed fetal echocardiogram because of a fetal arrhythmia.
A murmur was noted incidentally at the age of seven weeks, and the echocardiogram showed tricuspid atresia due to absence of the right atrioventricular connection.
The echocardiogram demonstrated an atrial septal defect within the oval fossa and normal contractility.
Among patients who are followed with frequent echocardiograms, new lesions are virtually never identified beyond four weeks after the onset of the disease.
Patient records, catheterization data, cineangiograms and the most recent echocardiograms at latest follow-up were reviewed.
An echocardiogram showed a large solid mass with cystic components anterior and superior to the heart within the pericardium.
In retrospect, however, the anatomy could be distinguished on preoperative echocardiograms.
Fetal echocardiograms were repeated at 26 weeks and 35 weeks of gestation.
The next echocardiogram was performed at the 33rd week of gestation.
This was despite two separate echocardiograms in two different centers, both performed by experienced echocardiographers but using portable equipment.
This course within the left atrial wall (truly intramural) could not be seen even on retrospective evaluation of the echocardiograms and angiograms.
An echocardiogram at that time revealed absence of the right pulmonary artery.
We thank our many colleagues for letting us use the echocardiograms of patients under their care.
The postnatal echocardiogram confirmed the fetal diagnosis, showing a bicuspid aortic valve with an eccentric orifice.