Tetralogy Of Fallot ( TOF )


This was a review scan of the same patient already posted here on 31 March  2013 – Left Atrial Isomerism . The review scan threw up some surprises . I was left wondering whether I should have got it the earlier time itself .

The first picture would confirm the left atrial isomerism – aorta and azygos vein seen side by side .

RUKMANI_26

the four chamber view looked normal.

RUKMANI_6

the LV Outflow tract view was more revealing . The IVS  is seen straddling the aorta .

RUKMANI_7

the next few pictures show the straddling of the aorta by the inter ventricular septum.

RUKMANI_18

RUKMANI_11

the three vessel view shows a narrow pulmonary artery compared to the aorta with flow reversal

RUKMANI_8

RUKMANI_9

the A V Septal defect with the colour flow.

RUKMANI_10

the diagnosis would be LEFT ATRIAL ISOMERISM WITH TETRALOGY OF F ALLOT

The irregular rhythm was not made out now.

Apart from this the fetus has symmetrical IUGR  and oligohydramnios

This brings out the importance of reviewing the patient at intervals.

 

5 thoughts on “Tetralogy Of Fallot ( TOF )

  1. Great to see this via this media. The cine loop is good but maybe a littlle short. sometimes large clips are not usable. Sharing information is wonderful now.

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  2. Pingback: Tetralogy of Fallot | Find Me A Cure

  3. Pingback: TETRALOGY OF FALLOT WITH RENAL DYSPLASIA ( FOLLOW UP AFTER BIRTH ) | Looking Through a Transducer

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