Journal of Women's Health Care
Open Access
ISSN: 2167-0420
ISSN: 2167-0420
El Guindi Wael
Rene Descartes University, Paris
Keynote: J Women's Health Care
Objective: To highlight the value of 3D ultrasound and doppler angiography imaging in the prenatal assessment of left fetal isomerism. Methods: A retrospective offline analysis of volume datasets of 3 fetuses with left atrial isomerism by 3D ultrasound was conducted. Conclusion: Left atrial isomerism is diagnostically challenging due to complex spectrum of findings. To our knowledge, this is the first study in which atrial isomerism is evoked based on study of the cardiac apex, the LHV and assessment of the vena cava (IVC) in parasagittal view. In a structurally normal heart with levocardia, with presence of a normal IVC and a right sided stomach, the chances of having left isomerism would be very low. We believe that parasagittal view demonstrating the heart and the abdominal vessels is easy to obtain and interpret, offer a realistic anatomic image, needs no mental reconstruction of spatial relationships and is very beneficial mainly in detecting the situs and provides an added tool for the diagnosis of other anomalies and we propose to obtain this view, if not routinely, in all cases suspected of situs anomalies. We recommend to use 3D ultrasound and doppler angiography systematically in suspected cases of left atrial isomerism, and better understand and interpret fetal anatomy. Keywords: Three-dimensional 3D ultrasound, isomerism, heterotaxy syndrome, Doppler angiography imaging, prenatal diagnosis.
Wael EL Guindi is a consultant in Gynecology and Obstetrics in a France. Weal El has done his PHD in Highest French Degree in Gynecology Obstetrics in France Consultant March 2010. He has published more than 12 articles in reputed journals.