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  Indian J Med Microbiol
 

Figure 1: Transabdominal two-dimensional echocardiogram of fetal heart at 20-weeks gestation with hydrops. (a) Axial view of fetal abdomen shows bilateral ascites (A), (b) parasagittal view of chest and abdomen shows severe pericardial effusion (PE) and ascites (A), (c) modified apical four-chamber view show large right atrium (RA), and atrialised right ventricle (ARV) with small right ventricle (RV), (d) Apical four-chamber view with color Doppler shows mosaic color pattern of severe tricuspid valve regurgitation with unrestricted wide fossa ovalis (<<) due to increased right-to-left shunt, (e) Note that, heart fills nearly whole chest shows dilated RA and ARV marked, (f) pulse wave Doppler shows holosystolic duration of the tricuspid valve regurgitant jet with peak velocity 150 cm/s and the origin of regurgitant jet was at the TV apical displacement level, whereas in tricuspid valve dysplasia jet is at the level of tricuspid annulus. LV: Left ventricle, LA: Left atrium, FO: Fossa ovalis, TR: Tricuspid regurgitation

Figure 1: Transabdominal two-dimensional echocardiogram of fetal heart at 20-weeks gestation with hydrops. (a) Axial view of fetal abdomen shows bilateral ascites (A), (b) parasagittal view of chest and abdomen shows severe pericardial effusion (PE) and ascites (A), (c) modified apical four-chamber view show large right atrium (RA), and atrialised right ventricle (ARV) with small right ventricle (RV), (d) Apical four-chamber view with color Doppler shows mosaic color pattern of severe tricuspid valve regurgitation with unrestricted wide fossa ovalis (<<) due to increased right-to-left shunt, (e) Note that, heart fills nearly whole chest shows dilated RA and ARV marked, (f) pulse wave Doppler shows holosystolic duration of the tricuspid valve regurgitant jet with peak velocity 150 cm/s and the origin of regurgitant jet was at the TV apical displacement level, whereas in tricuspid valve dysplasia jet is at the level of tricuspid annulus. LV: Left ventricle, LA: Left atrium, FO: Fossa ovalis, TR: Tricuspid regurgitation