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1 results

  • Non-compacted myocardium and foetal left isomerism as a hydrops’ aetiology

  • Ilda J. G. Rocha, Rosete M. A. N. Nogueira, Ana L. C. Carriço
  • Journal:
    Cardiology in the Young / Volume 20 / Issue 2 / April 2010
    Published online by Cambridge University Press:
    22 March 2010, pp. 223-225

  • We present a case report of a pregnant woman with increased risk for trisomy 21 at first-trimester screening, assessed by ultrasonography, that was sent to our hospital. Amniocentesis was performed at 14 weeks and 2 days to obtain foetal karyotype that was normal (46,XX). At 19 weeks and 1 day, foetal hydrops associated with cardiac malformation was detected by routine scan. Foetal echocardiogram revealed a complete auriculoventricular septal defect, non-compacted myocardium, and a bradycardia of 70–90 beats per minute, which lead to the suspicion of left isomerism. Foetal death occurred at 20 weeks and 3 days. Autopsy was consistent with the prenatal diagnosis.