Doppler fetal echocardiography in endocardial fibroelastosis.

Abstract:

BACKGROUND:Endocardial fibroelastosis is a congenital heart disease known to cause congestive heart failure in early infancy. We report a case using new modalities for early prenatal diagnosis of endocardial fibroelastosis causing fetal heart failure. CASE:A multipara with two children, who died of endocardial fibroelastosis, was referred for fetal echocardiography at 20 weeks' gestation. A mildly asymmetric four-chamber view with slightly enlarged atria and no other fetal heart abnormalities suggested endocardial fibroelastosis. Doppler studies demonstrated abnormal cardiac function with extremely low atrioventricular E/A ratio, defined as the ratio between the rapid ventricular filling (E wave) and the atrial systole (A wave), and abnormal venous flow velocity waveforms establishing the diagnosis. On a repeat scan 2 weeks later, the abnormal morphologic signs suggesting endocardial fibroelastosis were more prominent, and pregnancy was terminated. CONCLUSION:When morphologic signs are not definitive, Doppler studies of the fetal heart may be useful in making the diagnosis of endocardial fibroelastosis.

journal_name

Obstet Gynecol

authors

Weiner Z,Shalev E

doi

10.1016/s0029-7844(01)01505-8

subject

Has Abstract

pub_date

2001-11-01 00:00:00

pages

933-5

issue

5 Pt 2

eissn

0029-7844

issn

1873-233X

pii

S0029784401015058

journal_volume

98

pub_type

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