First trimester prenatal diagnosis of a severe tricuspid valve regurgitation and pulmonary valve atresia.
Adalgisa CordiscoVirginia LozzaMaria Elena FiliceEnrico ChiappaPublished in: Echocardiography (Mount Kisco, N.Y.) (2021)
Early diagnosis of congenital heart defect (CHD) increased in the last two decades, following technological evolution. A recent meta-analysis (Yu, 2020), on diagnostic accuracy in ultrasound detection of major CHD in the first trimester of pregnancy, reported an overall sensitivity of 75%. Ultrasound imaging of this case refers to a tricuspid valve dysplasia with right atriomegaly and pulmonary valve atresia diagnosed in a 13-week gestational-age fetus with low risk for chromosomal abnormalities. To our knowledge, this is the first case describing such features in the first trimester. We believe the precocity and severity of onset make this a case of diagnostic interest.
Keyphrases
- aortic valve
- aortic stenosis
- mitral valve
- transcatheter aortic valve replacement
- gestational age
- ejection fraction
- systematic review
- preterm birth
- pulmonary hypertension
- left ventricular
- healthcare
- birth weight
- magnetic resonance imaging
- randomized controlled trial
- early onset
- coronary artery disease
- computed tomography
- meta analyses
- pregnancy outcomes
- clinical trial
- study protocol
- ultrasound guided
- heart failure
- physical activity
- dna methylation