2012-05-31-15 Hypoplastic left heart ©Contarin www.TheFetus.net
Hypoplastic left heart
Francesco Contarin, MD.
Clinica Sanatrix. Caracas, Venezuela.
Case report 1:
23-year-old patient, G2 P1, 27 weeks of gestation.
The ultrasound findings: Polyhydramnios, hypoplasia of 2nd phalanx of the fifth digit, pleural effusion, and hypoplastic left heart syndrome.
Chromosomal abnormalities was not confirmed, because the patient did not return.
Image 1, 2: Polyhydramnios, pleural effusion.
Image 3: Hypoplasia of 2nd phalanx of the fifth digit
Image 4, 5: Four-chamber view; thickening of right ventricular wall.
Image 6, 7: Bicaval view and sagital plane of fetal thorax.
Image 8, 9: Pulmonary artery and tricuspid valve regurgitation
Case report 2:
A 24-year-old patient, G4 P2 A1 without previous history of cardiac malformations or infections.
Image 10, 11: Thickening of right ventricular wall.
Image 12, 13: Tricuspid valve in diastole, rudimentary left ventricular chamber and atrial septal defect.
Image 14, 15: Bicaval view
Image 16, 17: Doppler Ultrasound on three-vessel view demonstrating a very thin aorta (left), flow from right atrium to right ventricle and no flow seen on left heart.