Re: early fetal cardiac eco
From: laure (lfolgar@vianwe.com)
Thu Oct 21 13:42:20 2004
My statistics in 197 12-13 weeks scan are 84.45% of four chambers views.
Outflow tracts were not controled but in most of cefalics, hearts up
normally is located. In my experience the importance of the nuchal
translucency and the great diference of view after 12 weeks do not
recomended wait untill 13-14 weeks to see the heart.
L. folgar
-----Mensaje original-----
De: ultrasound@obgyn.net [mailto:ultrasound@obgyn.net] En nombre de art
fougner, md
Enviado el: Miércoles, 20 de Octubre de 2004 05:14 p.m.
Para: Multiple recipients of list ULTRASOUND
Asunto: Re: early fetal cardiac eco
i'm also interested in this area of investigation ... seeing many folks
with diabetes here ...
art
At Wed, 20 Oct 2004, Allen Worrall wrote:
>
>I am anxious to see that video. I do lots of transvaginal scans at
>around 12 weeks for nuchal translucency, and it is amazing how well one
>can see the fetal heart sometimes. In some cases (certainly not all) I
>feel I can see the four chamber view and the outflow tracts, and can
>confirm with color that the blood is flowing in the expected
>directions. When I report on a 12 week scan that the four chamber view
>and the outflow tracts are normal in appearance, I suspect anyone
>reading the report (and sometimes I wonder if anyone does read the
>reports) would think I am joking.
>
>Allen
>
>>>----- Original Message -----
>From: "Terry J DuBose" <tjdubose@juno.com>
>To: "Multiple recipients of list ULTRASOUND" <ultrasound@dns.obgyn.net>
>Sent: Wednesday, October 20, 2004 4:39 AM
>Subject: Re: early fetal cardiac eco
>
>> Wolfgang, I did get the three video clips and forwarded them to
OBGYN.net
>> for formatting for the EAB. I have not heard back from them yet...
I
>> will check from the office today to see what the status is. thanks,
>> Terry
>>
>> On Wed, 20 Oct 2004 01:59:59 -0500 wolfgang.moroder@tin.it (Wolfgang
>> Moroder, M.D.) writes:
>>> Dear Terry
>>> I have tried to send you an e-mail but it seems that the anti spam
>>> devices don't allow it to go through.
>>>
>>> I'd like to post as an informal case three videoclips for a total of
>>> about 5 MB.
>>>
>>> The first color Doppler videclip shows the fetal heart at 12 weeks
>>> and that looks normal as far as it can be investigated at this
>>> stage. The second and third clips are of a chromosomically normal
>>> fetus at 14
>>> and 16 weeks. There is clear evidence already at 14 weeks of an
>>> unbalanced AV canal with a single common atrioventricular valve
>>> orifice.
>>> The first frames of the clip show a fairly normal three vessel
>>> view.
>>> There seems to be an evolution towards a more severely
>>> disproportion
>>> between the two ventricles and a single ventricle heart looking at
>>> the
>>> 16 weeks clip. The unbalanced form of AV canal is more common in
>>> chromosomically normal fetuses. The pregnancy is still ongoing and
>>> the
>>> patient is waiting for a more conclusive scan and councelling at 20
>>> weeks.
>>>
>>> For better viewing of the clips I suggest to load them from
>>> Quicktime. To my knowledge Quicktime compared to Mediaplayer has the
>>> advantage to
>>> allow a frame to frame vision of the videoclips using the right and
>>> left
>>> arrow on the computer's keeboard. The spacebar can be used as a
>>> stop
>>> and play command while control-L is a shortcut to make the clip
>>> loop.
>>> Analising color Doppler videoclips by a frame to frame method is
>>> almost
>>> essential because shifts in colors are very quick and can't be
>>> observed
>>> easyly even by a trained eye.
>>>
>>> If you consider this material interesting for publishing as a
>>> informal case I'd be very happy to send it. Please let me know how
>>> I can upload
>>> it to the OBGYN.NET server.
>>> Best regards
>>> Wolfgang
>>>
>>> --
>>> Wolfgang Moroder, MD
>>> Prenatal Unit
>>> Bolzano General Hospital Italy
>>>
--
art fougner, md
ich bin ein New Yorker
