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Case Reports
. 2012 Jan;38(1):20-4.
Epub 2012 Mar 21.

The contribution and the importance of modern ultrasound techniques in the diagnosis of major structural abnormalities in the first trimester - case reports

R Dragusin  1 , M Florea  1 , D Iliescu  1 , Smarandita Cotarcea  2 , Stefania Tudorache  1 , Liliana Novac  1 , N Cernea  1
Affiliations
Case Reports

The contribution and the importance of modern ultrasound techniques in the diagnosis of major structural abnormalities in the first trimester - case reports

R Dragusin et al. Curr Health Sci J. 2012 Jan.

Abstract

We describe a series of cases where modern ultrasound (US) techniques diagnosed major structural abnormalities of the fetus in the first trimester (FT), unapparent when using the basic protocol of US investigation. In some cases, major structural abnormalities can be revealed in the FT scan solely to specialized personnel. Perhaps early screening should be confined in specialized centers, because congenital abnormalities detailed diagnostic has a huge impact in counseling the couple and also in prenatal advice of future pregnancies.

Keywords: First Trimester; Structural Abnormalities; Ultrasound.

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Figures

A,B
A,B
Atrio-ventricular septal defects (A, B). Color Doppler mode shows communication bethween the right and left side of the fetal hearth (open arrows)
C
C
Confirmation of the anomaly at the pathologic evaluationMitral atresia with VSD (Hypoplastic right hearth syndrome)
A,B
A,B
Abnormal four-chamber view with a diminutive right ventricle, septal defect and atretic, thikened tricuspid valve. LV, left ventricle; RV, right ventricle; MV, mitral valve; TV, tricuspid valve.
C,D
C,D
Color Doppler at the four-chamber view during diastole. C: Absence of flow across the atretic, and thikened tricuspid valve. D: The right ventricle receives blood from the left ventricle across the ventricula septal defect in late diastole and systole
E
E
Dual mode (B mode and color Doppler) at the four-chamber view during systole. Presence of mitral valve rgurgitation. Hypoplastic left heart syndrome
A,B
A,B
A narrow width of the left ventricle in comparison to that of the right ventricle in color (A) and power Doppler (B) at the level of the four-chamber view of the heart.
C,D
C,D
Narrowed left outflow tract with forward flow is noted in the color (C) and power Doppler (D) at the level of the three vessel-trachea view.
A
A
4D (STIC) evaluation with color Doppler, showing the parallel emergence of the great vessels at the base of the heart
B
B
Pathological specimen showing the left and right outflows emergence
A
A
Apparent normal four chamber view of the fetal heart and absent filling of the right ventricle during diastole through the tricuspid valve.
B
B
discretely dilated right atrium
C
C
Transversal three vessel and trachea view with color Doppler applied. Reversed flow in the right outflow tract.
D
D
Enlarged right atrium at the authopsy exam, confirming the imagistic suspicion formulated in B
A
A
4D STIC reconstruction of fetal circulation (thorax and abdomen). Absence of a normal conformation of ductus venosus with caval drainage of the umbilical flow
B
B
Normal development of hepato-portal circulation
A
A
Longitudinal view
B
B
Coronal view
C
C
Pathological specimen
Figure 8
Figure 8
Polydactily in 3D evaluation
See this image and copyright information in PMC

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