The Quicktime viewer would help. Also recipients need to adjust
brightness and contrast to optimize the information on their computer.
It was these changes that helped me see the canal quite clearly on your
studies. This wa a good case. Congratulations on your early pick-up.
--
James S. Smeltzer, MD, FACOG, SMFM
Consultant, Maternal Fetal Medicine
Wellstar Physicians' Group
Northwest Women's Care
787 Campbell Hill St
Marietta GA 30060
James.Smeltzer@wellstar.org
VM 678-290-3035
Off 770-528-0260
Page 404-318-3451
>>> wolfgang.moroder@tin.it 11/3/2004 1:11:13 PM >>>
Dear Dr. Libardi
Thank you for your comment though succint.
I agree with you that the left outflow tract (LVOT) on the clip looks
normal but the point is the septal defect of the inlet on the 14 and
16
wks videoclips here
http://www.obgyn.net/us/us.asp?page=/us/present/1004/moroder_canal_wmp.
I have seen the patient now again at 20 weeks and I could definetly
confirm the presence of a complete AV canal with moderatly unbalanced
ventricles (the apex of the heart still belongs to the left
ventricle).
Both outflow tracts left and right were still normal in alignement and
size. In the meantime the patient has been in one of the most
important
Italian centers for fetal cardiology and the diagnosis of a slightly
unbalanced canal was confirmed and she was accordingly councelled from
the cardiologic surgeon meaning that probably nobody knows how the
heart
will develop at the end of the prengnancy.
In regard to the videoclip of the fetal heart at 12 weeks it might
seem
inconclusive if you don't look at it with a frame to frame modality.
In
the latter case you can visualize the normal chambers, the septa, and
the outflow tracts. Much more than with a four chamber view at 20
weeks. I don't think this can be simply defined as inconclusive.
I apologize for writing the wrong videoclip viewer. If you want to
see
the clip frame by frame it is QUICKTIME which allows it with the left
and right arrowkeys
Best regards
Wolfgang Moroder
At Mon, 1 Nov 2004, Mario Libardi wrote:
>
>>>----- Original Message -----
>From: Mario Libardi To: ULTRASOUND@OBGYN.net
>Sent: Monday, November 01, 2004 8:06 AM
>Subject: moroder_canal
>
>Folks
>
>My comments:
>
>The 12 wks clip is inconclusive.
>The 14 and 16 wks clips in my opinion are normal LVOT views.
>
>Regards
>Mário Libardi, MD
>Botucatu, Sao Paulo
>Brasil
--
Wolfgang Moroder, MD
Prenatal Unit
Bolzano General Hospital Italy
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