Replies to This Discussion

Permalink Reply by ismail seker on September 25, 2011 at 4:11am

Hi  Tulin,

My differential diadnosis:

1.T 21

2. T18

3.Major Cardiac Anomaly

Permalink Reply by ismail seker on September 25, 2011 at 4:32am

 

Permalink Reply by Tulin Ozcan on September 26, 2011 at 4:58pm

This wasa trisomy 13 case. the heart was on the right side of the chest, and there was mild tachycardia to 190-200 bpm ranges. Apparently ay 10-14 weeks, fetal heart rate can help fro sorting out the aneuploidy: In trisomy 21, trisomy 13 and Turner syndrome fetal heart rate is high and  in trisomy 18 and triploidy the heart rate is low. In 67% of t13 fetuses, the fetal heart rate is above the 97th P .

Permalink Reply by David N Jackson on November 7, 2011 at 6:37pm

Dear Tulin,

I appreciate you posting this patients images. Could you please help orient me to the images and the positive findings you saw in real time.

 

Sincerely

 

Dave J

Permalink Reply by Tulin Ozcan on November 8, 2011 at 11:37am

Hi Dave,

 

The first image shows the heart and the stomach on different sides on a coronal image. Second one show the fetal heart rate in the 188 bpm. I think the last one was not the best one to choose from, it is a transverse-oblique that shows the heart and the stomach on different sides again. I enclosed a new image with labels. The fetus had an increased NT, diaphragm appeared intact, and nasal bone was present.

Best

Tulin

Attachments:

• Image 10.JPG, 27 KB