The purpose of this article is to show that fetal echocardiography should also be performed in the third trimester of pregnancy, both in normal and complicated pregnancies. The article presents a review of the current literature presenting the possibilities and goals of fetal echocardiography in the third trimester of pregnancy in situations such as: coarctation of the aorta, premature constriction of the ductus arteriosus, increased fetal lung vascular resistance, hypoplastic left heart syndrome, dextro-transposition of the great arteries, fetal growth restriction, pregestational diabetes mellitus, and gestational diabetes mellitus. A specific feature of fetal echocardiography in the third trimester is the emphasis on the assessment of fetal heart function; therefore, the article describes the current method of assessing it.
This is a case report about very rare findings in 2nd half of pregnancy (after normal 1 trimester scan ) at 18th week of gestation fetal macrosomia was detected unrelated to maternal diabetes, and acceleration fetal growth later on with unusual cardiac abnormalities (fetal cardiomegaly, cardiomyopathy, partial abnormal venous connection ). Progressive features of congestive heart failure with polyhydramnios in a fetus with estimated 5500 g predicted a poor outcome and severe neonatal condition, which was presented and discussed with the parents to be. Casearean section was performed at 33rd weeks of gestation due to maternal dyscomfort, severe legs edema and her tachypnoe. Baby boy was delivered with birth weight of 5050g, Apgar 4 with mutiple tumors. Conservative care was introduced and neonated died on the 3rd day. Differential diagnosis was discussed with special attention to Costello syndrome however without proved by genetic make-up from neonatal blood.
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