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.
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
Unveiling the complexities of preterm birth risk from nativity, ethnicity, and race
March 22nd 2024A recent study dissected the relationships between maternal nativity, ethnicity, and race in influencing preterm birth rates, shedding light on disparities and suggesting avenues for future research.
Read More
Study reveals link between opioid dosage and spontaneous preterm birth risk
February 21st 2024Recent research highlighted an association between the total dose of prescribed opioids during pregnancy and the heightened risk of spontaneous preterm birth, emphasizing the need for judicious opioid use in pain management for expectant mothers.
Read More