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Re: Fw: moroder_canalFrom: Wolfgang Moroder, M.D. (wolfgang.moroder@tin.it)Wed Nov 3 11:10:25 2004
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 -----
-- Wolfgang Moroder, MD Prenatal Unit Bolzano General Hospital Italy
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