First trimester prenatal diagnosis of a severe tricuspid valve regurgitation and pulmonary valve atresia

Echocardiography. 2021 Dec;38(12):2119-2121. doi: 10.1111/echo.15242. Epub 2021 Nov 7.

Abstract

Early diagnosis of congenital heart defect (CHD) increased in the last two decades, following technological evolution. A recent meta-analysis (Yu, 2020), on diagnostic accuracy in ultrasound detection of major CHD in the first trimester of pregnancy, reported an overall sensitivity of 75%. Ultrasound imaging of this case refers to a tricuspid valve dysplasia with right atriomegaly and pulmonary valve atresia diagnosed in a 13-week gestational-age fetus with low risk for chromosomal abnormalities. To our knowledge, this is the first case describing such features in the first trimester. We believe the precocity and severity of onset make this a case of diagnostic interest.

Keywords: first trimester; prenatal diagnosis; tricupid valve dysplasia.

Publication types

  • Case Reports

MeSH terms

  • Female
  • Heart Defects, Congenital*
  • Humans
  • Pregnancy
  • Pregnancy Trimester, First
  • Prenatal Diagnosis
  • Pulmonary Atresia* / diagnostic imaging
  • Tricuspid Valve Insufficiency*