TheFetus.net

Case of the Week #532

Frantisek Grochal

Affiliation: Femicare - Center of prenatal ultrasonographic diagnostics, Kollarova 17/A, 036 01 Martin, Slovak Republic

Posting Dates: March 7, 2021 - March 24, 2021

Case Report: A 22-year-old woman (G1P0) with non-contributory medical history was sent to our office at 12 weeks gestation for a routine first-trimester ultrasound.

Our examination found a live fetus with Crown Rump Length (CRL) 48.6mm, corresponding to 11 weeks + 5 days of pregnancy. Prominent nuchal translucency was the first striking discovery and additional examination revealed following findings:

05a
Image 1
2
Image 2
04a
Image 3
3
Image 4
05a
Image 5
06a
Image 6
7a
Image 7
8a
Image 8
Video 1
Video 2

View the Answer Hide the Answer

Answer

We present a case of pulmonary atresia with intact ventricular septum (PAIVS).

Our ultrasound images showed:

  • Increased nuchal translucency measuring 5.4 mm
  • Hypoplastic right ventricle of the heart with severe tricuspid regurgitation
  • Pulmonary artery was filled in a reversed fashion via the ductus arteriosus

The parents opted for termination of pregnancy.

04b
Image 3: LV-left ventricle; RV-right ventricle; LA-left atrium; RA-right atrium
3
Image 4
05b
Image 5: LV-left ventricle; RV-right ventricle; LA-left atrium; RA-right atrium
06b
Image 6: LV-left ventricle; Ao-aorta
7b
Image 7: PA-pulmonary artery; Ao-aorta
8b
Image 8: PA-pulmonary artery; Ao-aorta; DA-ductus arteriosus
Video 1: LV-left ventricle; RV-right ventricle; LA-left atrium; RA-right atrium
Video 2: Color doppler showing tricuspid regurgitation. PA-pulmonary artery; Ao-aorta; DA-ductus arteriosus

Discussion Board

Start a discussion about this case

Winners

Javier Cortejoso Profile Pic

Javier Cortejoso Spain Physician

Petra Turnova Profile Pic

Petra Turnova Slovakia Physician

Pawel Swietlicki Profile Pic

Pawel Swietlicki Poland Physician

Fatih ULUC Profile Pic

Fatih ULUC Turkey Physician

Umber Agarwal Profile Pic

Umber Agarwal United Kingdom Maternal Fetal Medicine

Cem Sanhal Profile Pic

Cem Sanhal Turkey Physician

Andrii Averianov Profile Pic

Andrii Averianov Ukraine Physician

Ana Ferrero Profile Pic

Ana Ferrero Spain Physician

Alexandr Krasnov Profile Pic

Alexandr Krasnov Ukraine Physician

silvio tartaglia Profile Pic

silvio tartaglia Italy Physician

Merve Ozturk Profile Pic

Merve Ozturk Turkey Physician

Vera Osadshaya Profile Pic

Vera Osadshaya Russian Federation Physician

Add to Favorites Favorite

Menu