Gynäkologie und Geburtshilfe
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Ultraschall trifft Magnetresonanztomographie bei der Diagnose der Cantrell-Pentalogie mit vollständiger Ektopie des Herzens

Leyder M, van Berkel K, Done’ E, Cannie M, Van Hecke W and Vorsselmans A

We report a case of a complete pentalogy of Cantrell at 25 weeks of gestation through antenatal Two Dimensional (2D) and Three Dimensional (3D) ultrasound and fetal Magnetic Resonance Imaging (MRI). A complete ectopiacordis and a supraumbilical hepato-omphalocele were diagnosed. Echocardiography showed multiples cardiac anomalies: a large ventricular septum defect, a hypoplastic right ventricle, a transposition of the great vessels with a small right outflow.

Prenatal and post mortem MRI and 3D Computed Tomography (CT) were performed in addition to routine 2D ultrasound to enhance the visualization of fetal anomalies for accurate diagnosis.

Fetal autopsy following termination of the pregnancy confirmed the presence of all malformations detected prenatally.

In our opinion extensive imaging of cardiac, thoracic and abdominal malformations by ultrasound and MRI is complementary for a clear diagnosis and counseling of the patient.