• Atrial Flutter
    • Fetal atrial flutter
    • Dilated right atrium and right ventricle
  • Atrial Flutter
    • Fetal atrial flutter
    • Dilated right atrium and right ventricle
    • Noted the rapid movement of the septum primum tissue (denoted by the arrow) and atrial wall compared to the ventricular contraction suspicious for a fast atrial rate 
  • Atrial Flutter
    • Fetal atrial flutter
    • Dilated right atrium and right ventricle
    • Evidence of fetal cardiac stress
      • Moderate tricuspid regurgitation
      • Trivial mitral regurgitation
  • Atrial Flutter
    • Fetal atrial flutter
    • Evidence of fetal cardiac stress
      • Moderate tricuspid regurgitation
      • Mild to moderate pulmonary regurgitation
  • Atrial Flutter
    • Fetus who has been in sustained atrial flutter
    • Dilated right atrium and right ventricle
    • Evolving fetal Hydrops 
      • small pericardial effusion adjacent to right ventricle
Fetus with 2:1 atrial flutter on m mode (atria on bottom of screen).
Fetus with 2:1 atrial flutter on m mode (atria on bottom of screen).
Fetus with 4:1 atrial flutter (Atria is on top of the screen). On m mode fetus noted to have 4 atrial contractions for every one ventricular contraction (atrial rate of 480 beats/min with a ventricular rate of 120 beats/min).
This is fetal atrial flutter