Table 2

 Abnormal cardiac scans showing asymmetry between right and left sided structures

PatientIndicationGA (weeks+days)Cardiac findingsOther ultrasound findingsKaryotypeOutcome
LV, left ventricle.
1Increased NT13+0Asymmetry RV/LVIncreased NT of 7 mm, no other findingsNormalPlanned for serial scans; TOP at 13 weeks, postmortem severely narrowed aortic isthmus (<300 μm).
2.Family history congenital heart disease (×2)13+1Asymmetry RV/LV and Ao/PA, right sided heartDiaphragmatic hernia suspected at 15 weeks; severe diaphragmatic hernia, left heart hypoplasia at 19 weeksNormalTOP at 21+3 weeks, postmortem large diaphragmatic hernia with severe lung hypoplasia, hypoplasia of the LV and severely hypoplastic aortic arch
3Increased NT, unbalanced translocation16+0Asymmetry RV/LVProgressive left ventricular outflow obstruction on subsequent scansUnbalanced translocation (7/15)TOP at 23+6 weeks, postmortem severe hypoplasia of LV and aortic arch
4Increased NT14+1Asymmetry RV/LV, right sided heartLimb abnormality, suspected diaphragmatic herniaNormalTOP at 14+2 weeks, no postmortem examination
5Increased NT13+1Small aortic isthmusIncreased NT of 7.9 mm; no other findingsNormalPlanned for serial scans; TOP at 13 weeks, no postmortem examination
6Increased NT13+3Asymmetry RV/LV, distal aortic arch not seenCystic hygroma45 XOTOP at 14+0 weeks, postmortem severely narrowed aortic arch and isthmus
7Exomphalos14+2Asymmetry RV/LV and Ao/PAExomphalosNormalLive birth, successful repair of coarctation and exomphalos