scholarly journals HDlive Image of Fetal Endocardial Cushion Defect

Author(s):  
Masato Mashima ◽  
Kunihiro Kawanishi

ABSTRACT We present our first experience of constructing an image of a fetal endocardial cushion defect (ECD) employing HDlive at 21 weeks and 3 days of gestation. Conventional two-dimensional (2D) echocardiography showed an atrioventricular septal defect, bilateral ventricular hypertrophy and massive pericardial effusion. Two-dimensional color Doppler ultrasound revealed atrioventricular valve regurgitation in systole. HDlive clearly demonstrated a glossy atrial septal defect, common atrioventricular valve and bilateral ventricular hypertrophy. Moreover, free, floating leaflets of the common atrioventricular valve not attached to the interventricular septum were suspected using HDlive. These findings suggested complete ECD with congestive heart failure. HDlive provided us with a new, realistic, and arguably much improved view of the complexities and interrelationships of intracardiac structures in a case of fetal ECD. HDlive may assist in the evaluation of fetal EDC, and offer potential advantages relative to conventional 2D fetal echocardiography. How to cite this article AboEllail MAM, Hanaoka U, Mashima M, Kawanishi K, Hata T. HDlive Image of Fetal Endocardial Cushion Defect. Donald School J Ultrasound Obstet Gynecol 2014;8(4):437-439.

1995 ◽  
Vol 59 (4) ◽  
pp. 1003-1005 ◽  
Author(s):  
Tetsuro Takayama ◽  
Nobuhiro Nagata ◽  
Takeshi Miyairi ◽  
Masakazu Abe ◽  
Kenji Koseni ◽  
...  

2005 ◽  
Vol 79 (2) ◽  
pp. 607-612 ◽  
Author(s):  
A. Derk Jan Ten Harkel ◽  
Adri H. Cromme-Dijkhuis ◽  
Bianca C.C. Heinerman ◽  
Wim C. Hop ◽  
Ad J.J.C. Bogers

1998 ◽  
Vol 8 (4) ◽  
pp. 472-478 ◽  
Author(s):  
Fause Attie ◽  
Pedro Iturralde ◽  
Carlos Zabal ◽  
Maria Rijlaarsdam ◽  
Alfonso Buendia ◽  
...  

AbstractWe describe 4 cases of congenitally corrected transposition associated with atrioventricular septal defect, diagnosed by echocardiography and angiocardiography. Two had usual atrial arrangement and two had mirror imaged atrial arrangement. All cases were associated with subpulmonary valvar stenosis. All patients presented with cyanosis and were in sinus rhythm. Atrioventricular septal defect with common atrioventricular junction was easily diagnosed on the basis of a common atrioventricular valve permitting interatrial and interventricular communications. All patients had balanced right and left ventricles. The echocardiographic recognition of the ventricles was based on the presence of the moderator band within the morphologically right ventricle, the characteristics of the apical septal trabeculations, and the shape of the ventricles. Angiocardiographic recognition of the ventricles was achieved on the basis of right and left ven-triculography.In one case with usual atrial arrangement, we recorded two His bundle potentials, one anteriorly and another posteriorly. Atrial stimulation revealed blocked atrioventricular conduction at the level of the pos terior bundle, and normal atrioventricular conduction through the anterior bundle. In both cases with atrial mirror-imagery, only a posterior His bundle potential was found, with normal atrioventricular conduction revealed by atrial stimulationThe clinical course with this combination depends on the other lesions present in addition to the common atrioventricular valve. Our electrophysiological studies show that the conduction system in presence of a common atrioventricular valve is as expected for congenitally corrected transposition with two atrioventric ular valves.


Heart ◽  
1975 ◽  
Vol 37 (2) ◽  
pp. 209-215 ◽  
Author(s):  
K T Tan ◽  
A Takao ◽  
A Hashimoto ◽  
T Sato

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