Ebstein Anomaly || Ultrasound || Fetal Echo || Case 345

Ebstein Anomaly || Ultrasound || Case 345
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Clinical Features:
A 44-year-old primigravida came for a fetal echocardiography with the history of
- Amenorrhea for 9 months
- Normal 2nd trimester anomaly scan
Ultrasound Features:
- Cardiomegaly (RA type) with a left sided axis deviation.
- Apical displacement of the TV with a lowered coaptation point of TV into lower RV, not at the atrioventricular junction resulting in atrialization of the RV.
- Tricuspid regurgitation.
Remember:
- In absence of cardiomegaly & an upward directed apex, it may become challenging to diagnose Ebstein anomaly during the mid trimester scan.
- Assess if there is flow across pulmonary valve.
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[@masudreza4473]

Thanks

[@farihaiqbal7238]

There is always some thing new to learn from your videos.
You didn’t talked about 3 vessel view.
Waiting for more echo videos. Regards from Pakistan 🇵🇰

[@ImagingStudy]

Thank you for watching. Hope you like it 👍
Check our video on 'Pentalogy of Cantrell | Gastroschisis | Ectopia Cordis':
czcams.com/video/BkyqFnh6KAI/video.html

[@ajoylaskar3344]

Amazing. Thank you sir for such invaluable cases. Sir, what about the Anomaly lecture for us, indians. I am eager to get the lecture but could not pay in Bangladeshi Taka. Is there no other way for payment and getting the lecture with video?

[@santoslexxie]

Superb

[@MohmadfahimAfzali]

Normal size of cisterna magna ??

[@ImagingStudy]

@@MohmadfahimAfzali upto 10mm usually

[@user-ti9uw8el5f]

Septum ok or defect in this case?

[@ImagingStudy]

The septum is ok. We also had a confusion after putting the color Doppler. We have excluded it on LVOT view though thats not shown here.