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  2. Library: Fetal CHD Image Library
  3. Lesion: Fetal Cardiac Intervention
  4. View: Fetal Balloon Aortic Valvuloplasty
  • Fetal Balloon Aortic Valvuloplasty
    • Needle seen crossing the placenta and penetrating fetus into the fetal left ventricular cavity in a fetus with critical aortic stenosis 
    • Hypoplastic thickened dysplastic aortic valve (AV)
    • Dilated left ventricle with severely depressed systolic function
  • Fetal Balloon Aortic Valvuloplasty
    • Wire advanced across the aortic valve in fetus with critical aortic stenosis
    • Severely dilated left ventricle with severely depressed systolic function
  • Fetal Balloon Aortic Valvuloplasty
    • Balloon tipped catheter across the aortic valve in fetus with critical aortic stenosis
    • Balloon inflated 
    • Dilated left ventricle with severely depressed systolic function
    • Small pericardial effusion
  • Fetal Balloon Aortic Valvuloplasty
    • Balloon tipped cateter across aortic valve in fetus with critical aortic stenosis
    • Balloon seen deflating
    • Dilated left ventricle with severely depressed systolic function
    • Small pericardial effusion
  • Fetal Balloon Aortic Valvuloplasty
    • Needle seen in left ventricle
    • Wire across the aortic valve in fetus with critical aortic stenosis
    • Balloon tipped catheter advanced across the aortic valve and inflated and subsequently deflated (denoted by the arrow)
    • Severely dilated left ventricle with severely depressed systolic function
  • Fetal Balloon Aortic Valvuloplasty
    • Aortic valve post valvuloplasty
    • Severely dilated left ventricle with endocardial fibroelastosis with severely depressed systolic function with mild improvement in excursion of lateral left ventricular wall
  • Fetal Balloon Aortic Valvuloplasty
    • Aortic valve post valvuloplasty
    • Antegrade flow visualized across the aortic valve (blue color Doppler flow)
    • Severely dilated left ventricle with endocardial fibroelastosis with severely depressed systolic function 
  • Fetal Balloon Aortic Valvuloplasty
    • Left ventricle following aortic valvuloplasty
    • Severely dilated left ventricle with endocardial fibroelastosis with severely depressed systolic function with mild improvement in excursion of lateral left ventricular wall
  • Fetal Balloon Aortic Valvuloplasty
    • Left ventricle following valvuloplasty
    • Severely dilated left ventricle with endocardial fibroelastosis with severely depressed systolic function with mild improvement in excursion of lateral left ventricular wall

These are clips of a fetal intervention for critical aortic stenosis. 

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