21/06/2025
First Trimester Cardiac Clarity
Tricuspid Atresia with Hypoplastic Right Ventricle
Diagnosd at 12 Weeks 2 Days | Case by Dr. Sonam Laddha (Heda), Fetal Medicine Specialist
📍 Vansh Sonography & Fetal Medicine Center, Akola
🎥 [Video clip: Color Doppler 4-chamber view at 12w2d showing absent tricuspid inflow, hypoplastic right ventricle]
🧬 Case Summary for Gynae & Obstetric Experts
A 27-year-old G2P1 patient presented for a routine NT scan at 12w2d. High-resolution ultrasound with color Doppler revealed:
Absent tricuspid inflow
Hypoplastic right ventricle
Preserved left ventricular function
Normal situs, heart rate, and CRL
Diagnosis: Tricuspid Atresia with Hypoplastic Right Heart Syndrome
🧠 Yes — detected in the first trimester.
🎯 Why This Matters
✅ First-trimester cardiac anomalies are often missed.
✅ NT scan isn’t just about nuchal thickness — it's an opportunity for structural screening.
✅ Early cardiac diagnosis offers better counseling, karyotyping options, and timely MTP if chosen.
This case underscores the need for systematic fetal cardiac screening as early as 12 weeks — when performed by a trained fetal medicine specialist.
👩⚕️ Dr. Sonam Laddha (Heda)
MD Radiology | Fellowship in Fetal Medicine
Founder – Vansh Sonography & Fetal Medicine Center, Akola
Dedicated to early, accurate, and compassionate fetal diagnosis
🤝 Dear Gynecologists & Obstetricians
🔔 Don’t miss your patient’s NT scan!
Refer your expecting mothers between 11–13.6 weeks for NT + Early Fetal Heart Screening.
Timely referral = timely decisions.
📍 Akola & surrounding districts
📞 For appointments & referrals: 8999554391
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