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HKSUM CME program November 2009. Acknowledgement: Hye-Sung Won M.D Department of Obstetrics and Gynecology University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea. RA. LA. RV. LV. Case Anomaly scan at 20 weeks’ gestation. 4 Chamber view. FCV. Color Doppler.
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HKSUM CME program November 2009 Acknowledgement: Hye-Sung Won M.DDepartment of Obstetrics and Gynecology University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea
RA LA RV LV Case Anomaly scan at 20 weeks’ gestation 4 Chamber view FCV Color Doppler PWDoppler RA RV Velocity>2.5m/s
SVC Ao Ao PA PA 3 vessel view Color Doppler 4 Chamber view • Right atrium size: 10.6*14.0mm • Pulmonary artery: • size : 2.5mm, laminar flow • Cordocentesis : normal karyotype RV LV RA
RV LV RA LV RV LA RA 4 Chamber view Color Doppler 3 Vessel view Rescan at 31 weeks’ gestation PA Ao SVC
Questions 1.What are the abnormal ultrasonographic findings? 2. What is the likely diagnosis? 3. What is the differential diagnosis?