* Ultrasound Division, ASL Roma B, Rome, Italy.
** Pediatric Cardiology. Policlinico Umberto I. University “La Sapienza” Rome, Italy
*** Reparto di ostetricia e ginecologia, Ospedale Fatebenefratelli San Pietro Rome, Italy.
**** Ultrasound Division, Ceprano Hospital, Ceprano, Italy.
Case 1
This is a case of a tetralogy of Fallot diagnosed at 22 weeks gestation in a 28-year-old patient G2P1 with non-contributive personal and family history. The previous ultrasound examination was performed at 9 weeks of gestation and was reported as normal.
At 22 weeks, ultrasound exam revealed the following cardiac findings: ventricular septal defect, overriding aorta, slight dilatation of the aortic root and ascending aorta and mild pulmonary stenosis with no signs of flow obstruction. All findings were suggestive of tetralogy of Fallot.
Extra-cardiac findings included: borderline width of the lateral brain ventricles (9.5 mm), mild micrognathia, bilateral short hallux.
Parents decided on the pregnancy termination based on the above findings. Karyotype testing was not performed and autopsy was declined.
Images 1,2: Image 1 shows the fetal profile with normal nasal bone and mild micrognathia. Image 2 shows a normal cerebellum and borderline width of the lateral ventricles.