BackgroundCoronary artery anomalies are not common, but could be very serious.ObjectivesThis study determines the frequency of coronary anomalies and normal variants by multi-detector-row computed tomography (MDCT).Patients and MethodsThe results of cardiac MDCT study in 2697 consecutive patients were analyzed retrospectively. Acquisition was performed by a 64-detector row CT machine. Imaging results were assessed by experienced radiologists.ResultsMyocardial bridging was by far the most frequent coronary variant (n = 576, 21.3%). Eighty-three subjects (3.1%) showed other coronary anomalies and variants. Anomalies of origination and course of the left main coronary artery (LMCA) were detected in 1.09% of the subjects. The frequency of these anomalies in the right coronary artery (RCA), left circumflex artery (LCx), left anterior descending artery (LAD), posterior descending artery (PDA) and obtuse marginal (OM) artery were 1.24%, 0.33%, 0.1%, 0.07% and 0.03%, respectively. The single coronary pattern was seen in 0.18% and coronary fistulas in 0.07%.ConclusionBased on the fact that coronary CT-angiography using MDCT can display different coronary anomalies, this study shows similar results to other reports on the subject. Future advances in the performance of CT machines will further improve the quality of CT-based cardiac imaging.

onographic markers are widely used for aneuploidy screening. Shortening of the fetal long bones such as the humerus and femur is a sonographic soft marker for screening of Down syndrome in the second trimester. Ethnic differences in fetal biometric measurements have been documented. [1][2][3] Beigi and ZarrinKoub 3 reported that Iranian fetuses had a shorter femur length in comparison with western studies. Kovac et al 1 concluded that Asian groups had a less-than-expected femur length.Undoubtedly, ethnic differences in fetal femur and humerus diaphysis length would have a considerable impact on Down syndrome screening; in one study, positive sonographic results were reported more frequently in nonwhite ethnicities because of shorter long bones. 2 In our previous study, we obtained normal ranges for the fetal nasal bone during the second trimester of pregnancy. 4 The aim of this study was to provide normal ranges for femur and humerus diaphysis length during the second trimester in an Iranian population. -Reza Tahmasebpour, MD, Reihaneh Pirjani, MD, Abbas Rahimi-Foroushani, PhD, Saeed Reza Ghaffari, MD, Fatemeh Rahimi-Sharbaf, MD, Farzaneh Fattahi Masrour, MD Received November 18, 2011, from the Iranian Fetal Medicine Foundation, Tehran, Iran (A.-R.T., S.R.G., F.F.M.) Ahmad ORIGINAL RESEARCHObjectives-Shortening of the fetal long bones is a sonographic soft marker for screening of Down syndrome in the second trimester that can be influenced by ethnicity. The purpose of this study was to provide normal reference ranges for femur and humerus diaphysis length during the second trimester of pregnancy in an Iranian population.Methods-This cross-sectional study was performed on 3011 singleton fetuses at 15 to 28 weeks' menstrual age. The relationship between menstrual age and both femur and humerus diaphysis length was determined, and percentile values for each menstrual week were provided.Results-The median femur diaphysis length ranged from 18.05 mm at 15 menstrual weeks to 52.20 mm at 28 menstrual weeks, and the mean humerus diaphysis length ranged from 17.65 mm at 15 menstrual weeks to 48.10 mm at 28 menstrual weeks. There was a linear relationship between menstrual age and both femur diaphysis length (R 2 = 0.957) and humerus diaphysis length (R 2 = 0.941).Conclusions-We have provided normal reference ranges for femur and humerus diaphysis length during the second trimester of pregnancy in an Iranian population.

CD seems to be associated with increased risks of impaired placental function and circulation and adverse pregnancy outcomes in the subsequent pregnancy, particularly in women with anteriorly located placenta near the previous uterine scar.

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Heterotaxy syndromes are defined as the disorders that involve abnormal arrangement of viscera. We present a case of prenatally diagnosed left isomerism in a 30-year-old primigravida woman referred to our hospital for complex cardiac abnormality. Sonographic findings included heart block, unbalanced atrioventricular septal defect, interruption of the inferior vena cava with hemiazygos continuation, double superior vena cava, a right-sided stomach, and biliary atresia. The hemiazygos vein drained into the right atrium by the persistent left superior vena cava. This type of inferior vena cava interruption and continuation is rarely reported in prenatally detected cases of left isomerism. © 2017 Wiley Periodicals, Inc. J Clin Ultrasound 45:430-433, 2017.

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