DailyDx: Fetus Presenting with Cardiomegaly
What is your diagnosis of this 36 week old fetus with cardiomegaly?
History: Our patient presented at 36 weeks gestation. Ultrasound images show the fetus with cardiomegaly, a dilated right atrium and right ventricle with mild tricuspid regurgitation.
Fetal echo images 1 and 2 show tricuspid regurgitation.
Image 1
Image 2
Image 3
Four chamber view showing dilated right side chambers
The biparietal section reveals hydrocephalic dilatation of the lateral ventricles with a large midline aneurysmally dilated draining vein.
Image 4
BPD section reveals ventriculomegaly and dilated midline cystic structure.
There was also mild polyhydramnios.
What is your diagnosis?
The answer to our DailyDx:
Vein of Galen malformation leading to cardiac failure. View power Doppler images 5 and 6 showing the vein of Galen malformation.
Image 5
Image 6 3D power Doppler view showing vein of Galen malformation
We challenge you to stump your colleagues! Send us your unusual images.
Newsletter
Get the latest clinical updates, case studies, and expert commentary in obstetric and gynecologic care. Sign up now to stay informed.
S1E4: Dr. Kristina Adams-Waldorf: Pandemics, pathogens and perseverance
July 16th 2020This episode of Pap Talk by Contemporary OB/GYN features an interview with Dr. Kristina Adams-Waldorf, Professor in the Department of Obstetrics and Gynecology and Adjunct Professor in Global Health at the University of Washington (UW) School of Medicine in Seattle.
Listen
