Fetal Show ! Rima S Bader MD , PhD, FASE, FACC Professor of Pediatrics, Consultant Pediatric & Perinatal cardiology King Abdul Aziz University College of medicine Jeddah, Saudi Arabia
23 RD SCIENTIFIC SESSION OF THE SAUDI HEART ASSOCIATION FEBRUARY 13-16, RIYADH, 2013
SLIDES HAVE PATIENTS NAME WITH
THEIR PERMISSION
Case A 35 years old GA 33-34 wks
diabetic lady On insulin Sent for routine fetal echo check as part of KAUH protocol.
Doppler of what?
This Doppler belongs to : a. Uterine vein b. Middle cerebral artery c. Brachial artery d. Umblical artery
Doppler of what?
2D : Four chamber view :colored
� 4 chamber view : Normal??
What is this?
Foramen ovale!
What does this arrow refer to: 1. Mass in atrium 2. Perforation 3. Foramen ovale flap 4. Abnormal vlave
Ductal Arch
CASE A 23 yrs old prime gravida 23
wks GA referred for suspected cardiomegaly on routine anomaly scan Positive hx of consanguinity Had a flu like illness at 14 wks GA
Case A 23 years old, G3P1+1
Saudi lady , GA 23 wks Referred for cardiac
evaluation
Hydrops !
What is the diagnosis in this patient? A. Cardiomegal
y B. Hydrops C. Fetal demise D. Fetal Tumor
CASE  A 35 years old primi
gravida , 22wks GA, triplet pregnancy (IVF)  Referred for an abnormal 4 chamber view.
Single ventricle!
Possible diagnosis A. Normal heart B. Transposition of great
arteries C. Single ventricle D. Ventricular septal defect
Single Ventricle in 3 D ECHO!
CASE  A 47 yrs Saudi lady G8P6+1,
23 wks GA referred for an abnormal fetal anomaly scan.  Early in pregnancy the fetus had an NT of 6mm
What is the diagnosis Normal heart Fetal arrythmia Ventricular septal defect Atrioventriculseptal defect
Comment ?
Insertion of AV-valves
AVSD
3 D-AVSD-POST NATL
Case  A 32 yrs G2P1 Saudi school
teacher at 32 wks GA referred to r/o Epstein anomaly suspected at anomaly scan
Abnormal 4 chamber view
3 D Echo!
Post natal
CASE A 2 3 years old prime
gravida Palestinian lady Referred at 28 weeks GA for abnormal Right ventricle Positive history of consanguinity.
What is the diagnosis Normal heart Poor cardiac function Cardiac tumour Ventricular septal defect
What is the prognosis in this case A. Not known B. Excellent C. Poor with fetal demise in
80% D. 85% chance of development of TS post nastally
Post natal
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CASE  A 32 yrs old Yemeni lady G2
P1 , GA 32 wks referred for abnormal heart rate on CTG!
Abnormal Doppler?
4 chamber view Function, Rhythm and Anatomy
Which one came first?
What is the abnormality?
Fetal Magnetograph
37-channel system
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ALL WHAT YOU NEED TO KNOW ABOUT CONGENITAL HEART DISEASE