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Non-compacted myocardium and foetal left isomerism as a hydrops’ aetiology

Published online by Cambridge University Press:  22 March 2010

Ilda J. G. Rocha ,
Rosete M. A. N. Nogueira  and
Ana L. C. Carriço
Ilda J. G. Rocha*
Affiliation:
Prenatal Diagnosis Unit, Centro Hospitalar de Vila Nova de Gaia/Espinho, EPE, Portugal
Rosete M. A. N. Nogueira
Affiliation:
Prenatal Diagnosis Unit, Centro Hospitalar de Vila Nova de Gaia/Espinho, EPE, Portugal
Ana L. C. Carriço
Affiliation:
Prenatal Diagnosis Unit, Centro Hospitalar de Vila Nova de Gaia/Espinho, EPE, Portugal
*
Correspondence to: Ilda J. G. Rocha, Rua Doutor Francisco Sá Carneiro – Mafamude, 4400-129 Vila Nova de Gaia. Tel: +351 223778100; Fax: +351 919679732; E-mail: ilda_j@hotmail.com
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Abstract

We present a case report of a pregnant woman with increased risk for trisomy 21 at first-trimester screening, assessed by ultrasonography, that was sent to our hospital. Amniocentesis was performed at 14 weeks and 2 days to obtain foetal karyotype that was normal (46,XX). At 19 weeks and 1 day, foetal hydrops associated with cardiac malformation was detected by routine scan. Foetal echocardiogram revealed a complete auriculoventricular septal defect, non-compacted myocardium, and a bradycardia of 70–90 beats per minute, which lead to the suspicion of left isomerism. Foetal death occurred at 20 weeks and 3 days. Autopsy was consistent with the prenatal diagnosis.

Keywords

Auriculoventricular septal defectcardiac malformationendocardial fibroelastosis
Type
Brief Reports
Information
Cardiology in the Young , Volume 20 , Issue 2 , April 2010 , pp. 223 - 225
Copyright
Copyright © Cambridge University Press 2010

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