Dear dr, I had a fetal
Echo three days ago which found a small
To moderate sized vsd. I had the echo due to medicine I had taken early in the first trimester. Nothing was Found on the ultrasounds I've had but I had the echo because I was concerned. I've had a first look ultrasound and bloodwork as well as materni21 plus test to look for genetic problems but everything has been normal. I'm so worried that the vsd is related to a chromosome issue/deletion or would there likely be other problems other than an isolated vsd? I'm not sure what to do. The pediatric cardiologist was not concerned and did not recommend an amnio but I'm just so worried.
Congenital heart defects occur in approximately 0.8 to 1% of all babies born. Ventricular septal defects are the most common congenital heart defect (after bicuspid aortic valve). They are most commonly NOT associated with genetic syndromes. In fact, we do not know why most heart defects occur in the absence of a genetic syndrome. And, genetic syndromes definitely make up the minority of the reasons for congenital heart disease. I obviously cannot promise you that your baby doesn't have a genetic syndrome. But, if your initial testing was normal and a targeted anomaly screen (level II OB ultrasound) was normal, the likelihood is quite low that there is an associated syndrome.
Having said that, in the end, ALL heart defects are due to some genetic change or difference that causes something to happen in the programming of the cells that create the heart. We just do not know or understand the vast majority of the processes or reasons that they happen. Most likely they are minimal changes that cause these isolated heart issues, with no other systemic abnormalities found. We hope to have more of this understood over the next decade, or so, though. However, we do not do any genetic "screening" for these because we wouldn't know what we'd be screening for.
Thank you for your response. We found out its a small to moderate muscular vsd. I guess I'm worried because why was this not detected on ultrasound and only on fetal echo? Does this mean other things such as brain or kidney anomalies may have been undetected or is the heart just more intricate? Also are isolated muscular vsds the type you'd see with degeorges? My doctor didn't seem concerned but I read too much. Thanks again . And yes north Carolina alum :)
Typical OB ultrasound looks at a 4 chamber view of the heart without any Doppler (color or the spectral waveforms) to make sure that the heart is grossly formed normally. However, that's about it, so it's not nearly so comprehensive as a fetal echo. The heart is a complex three-dimensional structure that requires all kinds of different interrogations from multiple views, something that the typical targeted anomaly screen does not do. That's why the OB ultrasound is considered a "level II" study, while a fetal echo is considered "level III".
DiGeorge syndrome, a chromosomal anomaly where there is a deletion of a small portion of the long arm of the 22nd chromosome, is typically associated with much more complex heart defects. Can isolated VSDs be seen with diGeorge syndrome? Yes, but it's MUCH more likely that the VSD is an isolated finding without any gross chromosomal abnormalities.
Copyright 1994-2018MedHelp.All rights reserved. MedHelp is a division of Vitals Consumer Services, LLC.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.