Agnieszka Nawara-Baran, Karl Frontzek, Herbert Budka and Paweł P. Liberski
A case of the rare fetal brain tumor is presented. This initally was observed as bleeding and ventriculomegaly and it was diagnosed at 28th week gestation by 2D, 3D and TUI ultrasound. The patient remained under the perinatal care until the end of pregnancy: cesarean section was performed at 37th week of gestation. Despite neurosurgery, the baby died on the 3rd day of postnatal life. On the basis of histopathological examination the diagnosis was established such as highly malignant tumor with focal ependymal and neuronal differentation that expands the current histopathology tumors classification.
Katarzyna Zych-Krekora, Anna Wójtowicz, Michał Krekora, Maciej Słodki, Hugues Gentillon and Maria Respondek-Liberska
It was the second pregnancy of an otherwise healthy married couple. The fetus (male) had detailed echocardiography monitoring in the second half of the pregnancy due to progression of cardiomegaly, and echocardiographic features of congestive heart failure. Marfan syndrome was suspected based on cardiac anomalies. For the first time, the rupture of aneurysm of aortic sinus Valsalva was documented. Despite transplacental treatment with digoxin there was fetal demise at the 34th week of gestation and postmortem newborn phenotype confirmed prenatal diagnosis.
Marfan Syndrome is a rare genetic anomaly which can be diagnosed prenatally by detailed echocardiography, usually with bad prognosis (just opposite to “benign” case diagnosed later on in life span). The most common prenatal cardiac manifestations are cardiomegaly with signs of cardiac insufficiency. We present the case with new echocardiographic features.
Katarzyna Piątek, Katarzyna Zych-Krekora, Joanna Płużańska, Ewa Gulczyńska and Maria Respondek-Liberska
Complains about prenatal diagnoses usually touch late diagnosis, missed diagnosis or uncomplete diagnosis. Prenatal diagnose provides usually important information for parents, obstetrician and neonatologist. Successful perinatal care is based on a good cooperation of the perinatal team. This time we present a peculiar situation when improper reading of prenatal diagnosis had caused a lot of troubles for the patient, parents and hospital staff.
Katarzyna Leszczyńska, Krzysztof Preis, Maria Respondek-Liberska, Maciej Słodki, Dennis Wood, Stuart Weiner, Ulli Gembruch, Giusseppe Rizzo, Reuven Achiron, Jay D Pruetz, Mark Sklansky, Bettina Cuneo, Birgit Arabin, Isaac Blickstein and
, CRC Press, 2007
14. Morin L., Lim K., Ultrasound in Twin Pregnancies, SOGC Clinical Practice Guideline, 2011, No 260.
15. Donnenfeld AE, Glazerman LR, Cutillo DM, Librizzi RJ, Weiner S. Fetal exsanguination following intrauterine angiographic assessment and selective termination of a hydrocephalic, monozygotic co-twin. Prenat Diagn. 1989 May;9(5):301-8.
16. Sklansky M, Greenberg M, Lucas V, Gruslin-Giroux A. Intrapericardial teratoma in a twin fetus: diagnosis and management. Obstet Gynecol. 1997 May;89(5 Pt 2):807-9.
17. Rizzo G, Muscatello
and review of the literature. Ultrasound Obstet Gynecol. 2012, 40: 652-658.
4. Hartung J Heling KS, Rake A, Zimmer C, Chaoui R. Detection of an aneurysm of the vein of Galen following signs of cardiac overload in a 22-week old fetus. Prenat Diagn. 2003 Nov, 23(11):901-3.
5. Lasjaunias PL Chng SM, Sachet M, Alvarez H, Rodesch G, Garcia-Monaco R. The management of vein of Galen aneurysmal malformations. Neurosurgery. 2006 Nov, 59(5 Suppl 3):S184-94; discussion S3-13.
6. Yan J Wen J, Gopaul R, Zhang CY, Xiao SW. Outcome
Iwona Strzelecka, Maciej Słodki, Katarzyna Zych-Krekora, Michał Krekora, Mariusz Grzesiak, Iwona Maroszyńska and Maria Respondek-Liberska
evaluation: time for consideration. Prenat Cardiol. 2015: 5: 18-23.
11. Słodki M, Respondek-Liberska M, Pruetz JD, Donofrio MT. Fetal cardiology: changing the definition of critical heart disease in the newborn. J Perinatol. 2016; 36: 575-580.
12. Słodki M. Habilitation Thesis. Medical University Lodz, PWSZ Plock: Poland,2012, https://www.researchgate.net/publication/291337775_Prenatal_and_perinatal_management_for_pregnant_women_with_fetal_cardiac_defects_based_on_new_prenatal_cardiac_anomalies_classification_Polish.
Krzysztof Mędrek, Krzysztof Piotrowski, Wojciech Halec and Stanisław Zajączek
Twin gestations are higher risk pregnancies for fetal mortality especially when associated with genetic disorder and congenital heart defect which significantly increases the complication risk in the co-twin including fetal loss, premature delivery, and organ damage. In this report, we present a case of dichorionic twins in 41 years old woman. A trisomy 21 was diagnosed in one twin associated with uncharacteristic congenital heart defect resulting in single twin demise in mid-gestation. The effect of regular care and proper management was delivery of healthy surviving twin.
Anna Knafel, Marcin Wiecheć, Agnieszka Nocuń and Antoni Basta
D-type transposition of the great arteries (d-TGA) is a critical heart defect lesion, that should be diagnosed prenatally, as early postnatal management greatly relies on this information. Recently, in Poland more heart defects of this type are diagnosed prenatally. However, there is a lack of data regarding the diagnosis of d-TGA at the time of nuchal translucency measurement at 11-13+6 weeks of pregnancy. We present a case of d-TGA that was detected and properly diagnosed during the first trimester scan. The diagnostic plane that enabled the diagnosis was the three vessel-trachea view (3VT) presenting one, wide vessel instead of a typical V-sign.