Three-Dimensional Color Doppler Echocardiographic Quantification of Tricuspid Regurgitation Orifice Area: Comparison with Conventional Two-Dimensional Measures

2013 ◽  
Vol 26 (10) ◽  
pp. 1143-1152 ◽  
Author(s):  
Tien-En Chen ◽  
Susan H. Kwon ◽  
Maurice Enriquez-Sarano ◽  
Benjamin F. Wong ◽  
Sunil V. Mankad
Keyword(s):  
Tricuspid Regurgitation ◽  
Color Doppler ◽  
Three Dimensional ◽  
Two Dimensional ◽  
Orifice Area

scholarly journals Prenatal Sonographic Image of Sirenomelia with Anencephaly and Craniorachischisis Totalis

2018 ◽  
Vol 2018 ◽  
pp. 1-5
Author(s):  
Takako Sugiura ◽  
Yuka Sato ◽  
Naoyuki Nakanami ◽  
Kiyomi Tsukimori
Keyword(s):  
Ultrasound Examination ◽  
Color Doppler ◽  
Three Dimensional ◽  
Final Diagnosis ◽  
Color Doppler Ultrasound ◽  
Lower Limbs ◽  
Ultrasound Images ◽  
Two Dimensional ◽  
Prenatal Counselling ◽  
Medical Termination

Sirenomelia is a rare congenital malformation characterized by varying degrees of fusion of the lower extremities. It is commonly associated with severe urogenital and gastrointestinal malformations; however, the association of sirenomelia with anencephaly and rachischisis totalis is extremely rare. To our knowledge, the prenatal sonographic images of this association have not been previously published. Here, we present prenatal sonographic images of this association, detected during the 17th week of gestation through combined two-dimensional, four-dimensional, and color Doppler ultrasound. Two-dimensional ultrasound images showed anencephaly, spina bifida, and possible fusion of the lower limbs. Three-dimensional HDlive rendering images confirmed the final diagnosis of sirenomelia with anencephaly and rachischisis totalis. The patient opted to undergo medical termination of pregnancy and delivered a fetus with fused lower limbs, anencephaly, and rachischisis totalis confirming the in utero imaging findings. Awareness of these rare associations will help avoid misdiagnoses and facilitate prenatal counselling. This case highlights the importance of a thorough ultrasound examination.

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