Top

Published in:

01-10-2008 | Case Report

Prenatal diagnosis of Ebstein’s anomaly using spatio-temporal image correlation (STIC) and inversion mode

Authors: Edward Araujo Júnior, Luiz Cláudio de Bussamra, Fernanda Silveira Bello Barros, Ingrid Schwach Werneck Britto, Tsutomo Aoki, Claudio Rodrigues Pires, Paulo Martin Nowak, Luciano Marcondes Machado Nardozza, Antonio Fernandes Moron

Published in: Archives of Gynecology and Obstetrics | Issue 4/2008

Abstract

Background

Ebstein’s anomaly is a rare cardiac defect where the septal and posterior leaflets are displaced, towards the right ventricle. The leaflets are dysplastic and stuck to the ventricular wall. Its antenatal diagnosis is usually made through bidimensional echocardiography, which also has prognostic value. Recently, the technological breakthrough of three-dimensional ultrasound (3D-US) offered new diagnostic tools for congenital heart defects, less dependent on the ultrasonographer experience, when compared to two-dimensional ultrasound (2D-US). The spatio-temporal image correlation (STIC) technique allows the acquisition of the fetal heart volume and its structures as a 4D cineloop sequence showing the complete cardiac cycle. Inversion mode is a new image analysis tool for the examination of fluid-filled fetal structures that inverts the gray scale.

Case report

We present a case of Ebstein’s anomaly diagnosed at 26 weeks of pregnancy through bidimensional echocardiography. We emphasize its main findings in 3D-US using the STIC and inversion mode techniques.

Starnes VA, Pitlick PT, Bernstein D, Griffin ML, Choy M, Shumway NE (1991) Ebstein’s anomaly appearing in the neonate. J Thorac Cardiovasc Surg 101:1082–1087PubMed

Frescura C, Angelini A, Daliento L, Thiene G (2000) Morphological aspects of Ebstein’s anomaly in adults. Thorac Cardiovasc Surg 48:203–208PubMedCrossRef

Zuberbuhler JR, Allwork SP, Anderson RH (1979) The spectrum of Ebstein’s anomaly of the tricuspid valve. J Thorac Cardiovasc Surg 77:202–211PubMed

Celermajer DS, Bull, Till JA, Cullen S, Vassillikos VP, Sullivan ID, Allan L, Nihoyannopoulos P, Somerville J, Deanfield JE (1994) Ebstein’s anomaly: presentation and outcome from fetus to adult. J Am Coll Cardiol 23:170–176PubMedCrossRef

Roberson DA, Silverman NH (1989) Ebstein’s anomaly: echocardiographic and clinical features in the fetus and neonate. J Am Coll Cardiol 14:1300–1307PubMedCrossRef

Melendres G, Ormsby EL, McGahan JP, Moon-Grady AJ, Towner D, Taylor D (2004) Prenatal diagnosis of Ebstein’s anomaly: a potential pitfall. J Ultrasound Med 23:551–555PubMed

DeVore GR, Medearis AL, Bear MB, Horestein J, Platt LD (1993) Fetal echocardiography: factors that influence imaging of the fetal heart during the second trimester of pregnancy. J Ultrasound Med 12:659–663PubMed

Gonçalves LF, Espinoza J, Romero R, Lee W, Treadwell MC, Huang R, Devore G, Chaiworapongsa T, Schoen ML, Beyer B (2005) Four-dimensional fetal echocardiography with spatiotemporal image correlation (STIC): a systematic study of standard cardiac views assessed by different observers. J Matern Fetal Neonatal Med 17:323–331PubMedCrossRef

Gonçalves LF, Lee W, Chaiworapongsa T, Espinoza J, Schoen ML, Falkensammer P (2003) Four-dimensional ultrasonography of the fetal heart with spatiotemporal image correlation. Am J Obstet Gynecol 189:1792–1802PubMedCrossRef

10.

Viñals F, Poblete P, Giuliano A (2003) Spatio-temporal image correlation (STIC): a new tool for the prenatal screening of congenital heart defects. Ultrasound Obstet Gynecol 22:388–394PubMedCrossRef

11.

Lee W, Gonçalves LF, Espinoza J, Romero R (2005) Inversion mode: a new volume analysis tool for 3-dimensional ultrasonography. J Ultrasound Med 24:201–207PubMed

12.

Gonçalves LF, Espinoza J, Lee W, Mazor M, Romero R (2004) Three- and four-dimensional reconstruction of the aortic and ductal arches using inversion mode: a new rendering algorithm for visualization of fluid-filled anatomical structures. Ultrasound Obstet Gynecol 24:696–698PubMedCrossRef

13.

Espinoza J, Gonçalves LF, Lee W, Mazor M, Romero R (2005) A novel method to improve prenatal diagnosis of abnormal systemic venous connections using three- and four-dimensional ultrasonography and “inversion mode”. Ultrasound Obstet Gynecol 25:428–434PubMedCrossRef

14.

Ebstein W (1866) Uber einen sehr seltenen fall von insufficienz der valvula tricuspidalis, bedingt durch eine angeborene hochgradige missbikdung derselben. Arch Anat Physiol 33:238–254

15.

Ammash NM, Warnes CA, Connoly HM, Danielson GK, Seward JB (1997) Mimics of Ebstein’s malformation. Am Heart J 134:508–513PubMedCrossRef

16.

MacLellan-Tobert SJ, Porter CBJ (1998) Ebstein’s anomaly of the tricuspid valve. In: Garson AJ, Bricker JT, Fisher DJ, Neish SR (eds) The science and practice of pediatric cardiology. Lea & Febiger, Philadelphia, pp 1303–1315

17.

Pinelli JM, Symington AJ, Cunningham KA, Paes BA (2002) Case report and review of the perinatal implications of the maternal lithium use. Am J Obstet Gynecol 187:245–249PubMedCrossRef

18.

Pavlova M, Fouron JC, Drblik SP, van Doesburg NH, Bigras JL, Smallhorn J, Harder J, Robertson M (1998) Factors affecting the prognosis of Ebstein’s anomaly during fetal life. Am Heart J 135:1081–1085PubMedCrossRef

19.

Leite Mde F, Gianisella RB, Zielinsky P (2004) Intrauterine detection of Ebstein’s anomaly and Down’s syndrome. Prenatal diagnosis of a rare combination. Arq Bras Cardiol 82:390–395PubMedCrossRef

20.

Vinãls F, Poblete P, Giuliano A (2003) Spatio-temporal image correlation (STIC): a new tool for the prenatal screening of congenital heart defects. Ultrasound Obstet Gynecol 22:388–394PubMedCrossRef

21.

Gonçalves LF, Lee W, Espinoza J, Romero R (2006) Examination of the fetal heart by four-dimensional (4D) ultrasound with spatio-temporal image correlation (STIC). Ultrasound Obstet Gynecol 27:336–348PubMedCrossRef

Title: Prenatal diagnosis of Ebstein’s anomaly using spatio-temporal image correlation (STIC) and inversion mode
Authors: Edward Araujo Júnior
Luiz Cláudio de Bussamra
Fernanda Silveira Bello Barros
Ingrid Schwach Werneck Britto
Tsutomo Aoki
Claudio Rodrigues Pires
Paulo Martin Nowak
Luciano Marcondes Machado Nardozza
Antonio Fernandes Moron
Publication date: 01-10-2008
Publisher: Springer-Verlag
Published in: Archives of Gynecology and Obstetrics / Issue 4/2008
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-008-0597-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Prenatal diagnosis of Ebstein’s anomaly using spatio-temporal image correlation (STIC) and inversion mode

Abstract

Background

Case report

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Case report

Please log in to get access to this content

Other articles of this Issue 4/2008

Twin pregnancy with a complete hydatidiform mole and surviving co-existent fetus

Recurrent benign metastasizing leiomyoma after hysterectomy and bilateral salpingo-oophorectomy

Socio-demographic profile of women undergoing abortion in a tertiary centre

A patient with stage 1a endometrial carcinoma in whom a solitary recurrent lesion was detected in the external iliac lymph node after MPA therapy

Chondrosarcoma of the uterus: case report and literature review

Obstructive anuria due to blood clot