Department of Gynecology, Felix Guyon Hospital, Saint-Denis, Reunion, France.
A 32-year-old-woman (G1P0), with non-contributive history, was referred to our unit at 40 weeks of gestation because of suspicion of a cardiac anomaly. Our ultrasound revealed enlarged pulmonary artery and its branches, regurgitation at the level of the pulmonary valve, and perimembranous ventricular septal defect. Absent pulmonary valve syndrome was suspected. The baby was delivered a few hours after our examination and the diagnosis of the absent pulmonary valve syndrome was confirmed.
Images 1, 2: The images show left outflow tract of the fetal heart with perimembranous ventricular septal defect.