A tetralogy of fallot associated with a stenotic pulmonary valve and agenesis of the ductus arteriosus in a 13-week-old fetus: the role of postmortem examination

Pediatric and Developmental Pathology : the Official Journal of the Society for Pediatric Pathology and the Paediatric Pathology Society
L Cesar PeresRoobin Johki

Abstract

Prenatal diagnosis at very early gestational age may disclose fetal anomalies, although this diagnosis is limited by lack of details on ultrasound (US) examination; hence, the importance of postmortem (PM) examination. We present a case of a 13-week-old fetus terminated as a result of significantly raised nuchal translucency, which additionally presented a tetralogy of Fallot with a stenotic pulmonary valve and agenesis of ductus arteriosus. These cardiac defects are not detected by US at this gestational age. On the other hand, PM examinations are being performed more frequently in these cases with the aid of a dissecting microscope and using delicate instruments. This case illustrates the need for a closer collaboration between fetal medicine and fetal pathology in order to reach a more accurate diagnosis, which provides the basis for adequate reproductive counseling.

References

Sep 2, 1976·The New England Journal of Medicine·M A HeymannN H Silverman
Mar 4, 1976·The American Journal of Cardiology·G C EmmanoulidesM Fishbein
May 15, 1984·The American Journal of Cardiology·D R FischerS C Park
May 8, 2001·Genetics in Medicine : Official Journal of the American College of Medical Genetics·H P De Decker, J B Lawrenson
Nov 1, 1992·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·C BrezinkaJ W Wladimiroff
Jan 16, 2009·Orphanet Journal of Rare Diseases·Frederique Bailliard, Robert H Anderson

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Methods Mentioned

BETA
dissecting
dissection
dissections

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