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Echogenic atria in a fetus.

A Kaur1, W W Lai

  • 1Division of Pediatric Cardiology, Mount Sinai Medical Center, New York, NY, USA.

Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology
|July 27, 2007
PubMed
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Transmural atrial echogenicity was diagnosed in a fetus using fetal echocardiography. This finding resolved postnatally, highlighting the importance of follow-up imaging for fetal cardiac conditions.

Area of Science:

  • Cardiology
  • Fetal Medicine
  • Medical Imaging

Background:

  • Fetal cardiac abnormalities require accurate prenatal diagnosis.
  • Echocardiography is crucial for assessing fetal heart structure and function.
  • Transmural atrial echogenicity is a rare finding in fetal cardiology.

Observation:

  • A case of transmural echogenic atria was identified in a fetus at 22 weeks' gestation.
  • Fetal echocardiography revealed echogenicity in the right and left atrial walls, septum secundum, and atrial appendages.
  • Postnatal echocardiography demonstrated borderline echogenicity at birth, which resolved on follow-up.

Findings:

  • The study documents a specific instance of fetal transmural atrial echogenicity.
  • Echogenicity was observed across multiple atrial structures, including free walls and appendages.

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  • Resolution of echogenicity postnatally suggests a transient condition.

    • Implications:

    • This case contributes to understanding the spectrum of fetal cardiac echogenicity.
    • It underscores the diagnostic value of serial echocardiography in managing fetal heart conditions.
    • Further research may elucidate the underlying causes and long-term significance of this finding.