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 .
the four chamber view looked normal.
the LV Outflow tract view was more revealing . The IVS is seen straddling the aorta .
the next few pictures show the straddling of the aorta by the inter ventricular septum.
the three vessel view shows a narrow pulmonary artery compared to the aorta with flow reversal
the A V Septal defect with the colour flow.
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.
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.
Thanks for the comment and suggestion
Thank you! Very informative!
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