Duncan W J, George D, Ezzat W, Wallace K, Van den Beuken B
Department of Pediatrics, College of Medicine, Saskatoon, Canada.
Pediatr Cardiol. 1993 Jan;14(1):37-9. doi: 10.1007/BF00794843.
A fetal echocardiographic scan was performed when routine prenatal ultrasound screening failed to identify four cardiac chambers. The scan showed a single ventricle with an associated circoid varicosity. Because of these anomalies, amniocentesis was suggested and trisomy 18 confirmed. The presence of major cardiac structural anomaly should prompt careful and specific review of all fetal anatomy to screen for syndrome identification and consideration of amniocentesis.
当常规产前超声筛查未能识别出四个心腔时,进行了胎儿超声心动图扫描。扫描显示一个单心室伴有相关的环状静脉曲张。由于这些异常情况,建议进行羊水穿刺检查,结果证实为18三体综合征。主要心脏结构异常的存在应促使对所有胎儿解剖结构进行仔细而具体的检查,以筛查综合征并考虑进行羊水穿刺检查。