Patient's question:
Fetal Echocardiogram ReportFindings:
Two-dimensional measurements (mm)
LVDD: 8.8 RVDD: 15.6
Doppler (m/s)
AO: 1.0 MPA: 0.8 MV: 0.6 TV: 0.5
CDFI
AI: Mild PI: Negative MR: Negative TR: Negative
Cardiac function:
Left ventricular Tei index: 0.40 Right ventricular Tei index: 0.41
Fetal heart rate (beats/min): 150
Umbilical artery S/D: 2.1
1. At 35 weeks of gestation, the fetal position is ROP, the stomach bubble is located on the left side, most of the heart is in the left thoracic cavity, the apex points to the left, and the heart-to-chest ratio is 30%.
2. The relative positions and connections of the atria, ventricles, and major arteries are normal.
3. The left and right ventricles are roughly symmetrical, with a "cross" intersection present.
4. Pseudo-atrial septal aneurysm formation is observed, with a wide base of 6.0 mm and a height of 5.7 mm.
5. The membranous part of the interventricular septum appears as a hyperechoic area, with no obvious interruption or typical transseptal flow observed.
6. The aorta and pulmonary artery cross at their origins, with an aortic diameter of 4.9 mm and a pulmonary artery diameter of 7.6 mm. The atrioventricular valves and semilunar valves are visible opening and closing.
7. No pericardial effusion is observed.
8. The three-vessel view is visible. The aortic arch is visible, with a narrow isthmus diameter of approximately 1.8 mm, a forward flow velocity of 1.0 m/s, and partial reverse flow signals observed.
Notes:
Right heart enlargement
Aortic arch stenosis cannot be ruled out
Fetal pseudo-atrial septal aneurysm formation
Please correlate with clinical observations
Doctor's answer:
Hello, this situation should be congenital developmental malformation. The surgery for newborns is generally more difficult, so conservative treatment with proper daily care can be considered temporarily. Based on the progression of the condition, it is advisable to schedule surgery after the child is over 3 years old. Generally, doctors recommend that women with prenatal examination risk signs maintain a balanced diet and avoid spicy, stimulating, and cold foods. Additionally, patients should also pay attention to a comfortable environment, which is beneficial for rest. Wishing the patient a healthy delivery.