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Fetal aortic valvuloplasty is considered for fetuses with severe valvar aortic stenosis and echocardiographic features suggesting a risk of progression to hypoplastic left heart syndrome. So if progression to hypoplastic left heart syndrome can be prevented by fetal aortic valvuloplasty, that would be theoretically a great boon.
Additionally, we had to go to a high risk OBGYN for an additional ultrasound to make sure Austin’s heart chambers developed properly (everything appeared OK at the time). He was diagnosed with a butterfly vertebrae, kidney fullness, sacral dimple, and several heart defects (right aortic arch, VSD, and ASD).
CT angiogram chest: no aortic dissection or pulmonary embolism. This case reminds me of this 27 year old totally healthy nurse who was previously healthy, presented with acute pulmonary edema and the below ECG that is diagnostic of proximal LAD occlusion, and was dismissed because of her age. Beware a negative Bedside ultrasound.
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