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Journal of Diagnostic Medical Sonography
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Findings of Abdomninal Heterotaxia and Associated Congenital Heart Disease

Bridgett Mayhew, RT, RDMS, RVT

Carol K. Chenoweth-Mitchell, MA, RDMS

Micquelyne Sims, BS, RDMS

Saint Luke's Perinatal Center, Saint Luke's Hospital of Kansas City, Kansas City, Missouri.

The prenatal finding of abdominal heterotaxia in conjunction with complex congenital heart defects should indicate the possible diagnosis of cardiosplenic syndrome—specifically, asplenia or polysplenia. Unfortunately, the prognosis for patients with either of these syndromes is usually poor. In this case, antenatal findings were indicative of asplenia, but neonatal testing revealed a normal-functioning spleen. This finding, along with detailed documentation of the congenital heart defects by fetal echo examination, dramatically improved the patient's prognosis and ultimate outcome.

Key Words: abdominal heterotaxia • asplenia • congenital heart defect • fetal echocardiography • polysplenia

Journal of Diagnostic Medical Sonography, Vol. 14, No. 3, 119-121 (1998)
DOI: 10.1177/875647939801400305
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