This was a 20 year old lady , primi, has undergone 3 scans earlier at different centres; the last one was done 3 weeks ago and everything appeared normal till then . Now she was referred to rule out cardiac anomaly.
The following was seen :
THIS FETUS HAD SEVERE FETAL ANEMIA WITH CARDIAC FAILURE LEADING TO CARDIOMEGALY WITH MITRAL, TRICUSPID AND PULMONARY REGURGITATION .NO OTHER OBVIOUS CARDIAC ANOMALY WAS MADE OUT . THE VENO ATRIAL , ATRIO VENTRICULAR AND VENTRICULO ARTERIAL CONCORDANCE APPEARED TO BE NORMAL; NO SEPTAL DEFECT WAS MADE OUT.
ALL THESE HAVE DEVELOPED WITHIN THE LAST 3 WEEKS .
AS GOOD NEONATAL MANAGEMENT WAS IMPERATIVE THE PATIENT WAS REFERRED TO A HIGHER CENTRE.