SHA24/016004

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