Fetal Echo: Understanding Cardiovascular Abnormalities in Heterotaxy Syndrome

This presentation reviews effective methods to properly and accurately diagnose fetal heterotaxy syndrome and the features of the complex congenital heart defects that can occur with each subtype of atrial isomerism (left versus right isomerism). During the presentation, I highlight the methods I use to evaluate these cases and give examples of the most complex combinations that can occur.

[@abhasheoran7163]

Please keep making more videos on fetal echo.

[@user-qc6rv9jp6m]

We went through so many of these with our son who was born with CHD and Heterotaxy Syndrome. His was named as rare and very complex. At the short age of 8 months he had already had 2 open successful heart surgeries. So far he has beat and defied all odds. He also has a Contegra pulmonary valve in place. Thanks to the surgeons, doctors, nurses, anesthesiologist and everybody who was part of his surgery team at Memorial Hermann Children's Hospital in the Texas Medical Center.

[@abhasheoran7163]

Excellent video

[@shellyhumbert2489]

Thanks for your presentation. I've been studying for the fetal echo boards. I'm understanding heterotaxy syndrome but you really tighten up my knowledge about it with this video.

[@khidrsalman8808]

Many thanks 👍👍
Great job
I want to see more and more

[@user-qi9zn7hs7v]

Really good explanation. Thank you very much.

[@nathvadla]

Great presentation sir, thank you 👍👍👍

[@kebronwasihun7303]

Amazing
Concise

[@doanphuong1325]

Could you please do more of the basic fetal heart scans with all the necessary views?

[@doanphuong1325]

I ran across one of your videos and now I cannot stop watching! Easy to understand and learn. Please do not stop sharing. So thankful! ❤❤❤❤❤❤
Edit: Are you able to share some of your private videos that we can’t see?

[@EchoKreeger]

Unfortunately I cannot due to copyright violations.

[@widjajajohan]

Hello, could you please explained about azygos vein: 1] how do we know normal azygos since it is not seen 2] is it "abnormal continuation" always a diagnosis when we see three vessels on area behind the heart ; and 3] do we always have to put doppler pulse wave to make certain it is azygos vein. thanks.

[@EchoKreeger]

Thank you for your questions. When there is intrahepatic interruption of the IVC, the continuation of the venous return of the lower half of the body is typically and almost always via the azygous or hemi azygous system.
1. It is true that the normal azygous system is very difficult to image in a fetus since it is very small, however, it can be seen in late gestation with clarity using power Doppler. Pathologically, the azygous system will decompress the lower half of the body when there is an obstruction or interruption of the IVC.
2. Yes, it is always abnormal to find more than one vessel posterior to the Heart in the four chamber view. This either represents a vertical egressing vein from a pulmonary venous confluence or the dilated azygos or hemi azygous vein when interruption of the IVC is present.
3. It is very helpful to use PW Doppler to evaluate the flow in any venous (or arterial) structure that is unidentified in the fetus.
Thanks! JK

[@secretidiotpotato]

My son was born with RAI, he was a fighter but only lived for 5 days. He was one of those 80%.

[@EchoKreeger]

So sorry for your loss. Please accept my condolences.

[@mr.gamingyt5364]

​​@@EchoKreegerSir in my anomaly scan report..In impression they mentioned finding are the suggestive of Heterotaxy Syndrome with right atrial isomerism, Levocardia, VSD, Transposed discord great vessels, anomalous pulmonary venous connection to the right artium.
Since anomaly carries poor prognosis, MTP would be prudent.
post abortal pathological can be done ...what is the meaning of it...yesterday I lost my baby😭😭😭😭 pls explain it sir... can't even accept my baby's loss😭😭😭

[@EchoKreeger]

@@mr.gamingyt5364 please accept my deepest condolences for the loss of your baby. I’m so sorry for what you are going through and wish the best for you and your family.
It sounds as if the Medical team there in your place have suggested to do an autopsy on your baby to confirm the findings. I’m not sure which country you reside, but here in the US it is optional and not mandatory to provide the medical team and opportunity to confirm the diagnosis by autopsy.

[@mr.gamingyt5364]

@@EchoKreeger really thank you for your reply sir . God bless everyone...

[@edwinmendoza-q1w]

I learn too much about isomerismo

[@muzaffarjonkarimov5852]

Hello!
could you give me your email professor?