The Cardiac Echogenic Focus

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Echogenic Focus in Fetal Heart; Is it still a dilemma?

influences cardiovascular system development. Echogenic foci (EF) within the fetal cardiac ventricles have been reported from examintions more than a decade. However, in spite of many publications on intracardiac echogenic foci, its clinical significance regarding the proposed association with chromosomal or CHD remains controversial.

Chromosomal Microarray Prenatal Patient Information

Cardiac Aortic atresia Atrial septal defect Atrioventricular (AV) canal defect Coarctation of the aorta Dextrocardia/situs inversus Double outlet right ventricle Ebstein anomaly Echogenic intracardiac focus Hypoplastic left heart Hypoplastic right heart Tetralogy of Fallot Transposition of the great vessels Truncus arteriosus Ventricular septal

Echogenic atria in a fetus - Wiley Online Library

Jul 25, 2007 Echogenic foci may be single or multiple. The clinical importance of echogenic foci observed within the ventricles is related to their potential association with aneuploidy1,7 9.The reported incidence of echogenic foci in the left ventricle varies from 0.45 to 22%2,3. In contrast, intra-atrial echogenic foci are rare.

A case of a pregnancy with placental implantation on uterine

MoM, and fβ hCG 1. 74 MoM. Second trimester anatomic screening was normal except for the finding of cardiac echogenic focus. In addition to that, there was a deep uterine septum and minimum 1/3 of the placenta was implanted on the septum (Figure 2). There was no vascularity on uterine septum in doppler ultrasound. There was parental

DOI: Ultrasound findings before amniocentesis in selecting the

Mosaic trisomy 21 Cardiac defect, cardiac echogenic focus 6.12 Mosaic deletion 18q Cardiac echogenic focus 0.31 Mosaic isochrome 12p Nuchal edema, diaphragmatic hernia 3.78 Mosaic isochrome 12p Cardiac echogenic focus, hydronephrosis, short limbs 11.18 Mosaic ring chromosome 4 Cardiac defect 2.33

2020 CODING AND REIMBURSEMENT FOR Cardiac Ablation and Left

236 Coronary bypass without cardiac catheterization without MCC 4.02 6.4 $23,373.33 Percutaneous Cather Ablation 273 Percutaneous intracardiac procedures with MCC 3.71 6.2 $21,523.93

Significance of Fetal Intracardiac Echogenic FociinRelation

fetuses hadasingle echogenic focus thatwas presentintheleftventricle(Fig.1). Among theentire population studied(901 subjects), theincidence oftnisomy21was2% (17/901). Of the17fetuseswithtnisomy21, 18%(3/17)hadintracardiac echogenic foci;of thefetuseswithout tnisomy21,2%(21/887) hadintracardiac echogenic foci. Thesensitivity, specificity


Echogenic intracardiac focus, choroid plexus cyst, mild renal pelviectasis, thick nuchal fold, echogenic bowel, short FL/HL. First trimester: NT, nasal bone. Other findings sometimes included: Mild ventriculomegaly, single umbilical artery, mega- cisterna magna, absent/hypoplastic nasal bone. Esoteric: Clinodactyly, absent middle phalanx 5. th

Imaging the Endometrium: Disease and Normal Variants

demonstrates an echogenic, tubular, cystic mid-line mass with internal echoes representing fluid and debris (Fig 2) (3). Premenopausal Endometrium Normal Appearance During menstruation, the endometrium appears as a thin, echogenic line 1 4 mm in thickness (Fig 3) (4,5). The endometrium is usually best seen on endovaginal scans. Endometrial

The value of echogenic foci (`golfballs') in the fetal heart

echogenic focus was found in the left ventricle. In the 36 cases in which the parents did not agree to an invasive procedure, the fetuses showed no physical features Figure 1 Four-chamber view of the fetal heart; echogenic intra-cardiac focus in the left ventricle Figure 2 Long-axis view of the fetal heart Case Procedure Indication for scan

Ultrasound Soft Markers for Aneuploidy - UAB

Echogenic Focus Echogenic Focus Bright spot in either ventricle with echogenicity similar to bone Papillary muscle calcification 20-30% of T21 vs. 3-5% normals Not associated with cardiac anomalies or dysfunction Echogenic Bowel

Echogenic Intracardiac Focus - Allina Health

Echogenic Intracardiac Focus During the second trimester, your baby s heart will be looked at using an ultrasound. Occasionally, one or more bright spots are seen in the heart. These spots are called an echogenic intracardiac focus. They are usually seen in the muscle wall of the ventricles. An echogenic intracardiac focus is found in


CARDIAC INTRACARDIAC ECHOGENIC FOCUS Data suggests a low association with karyotype abnormalities; we use a likelihood ratio of 1.1. You will need to discuss these on an individual basis with the attending staff. EFLV is seen in 10-15% of Asians so it is less important in this ethnic group.

AIUM Practice Parameter for the Performance of Fetal

Cardiac Imaging Guidelines: Basic Approach The fetal echocardiogram is a detailed evaluation of cardiac structure and function. This assessment involves a sequential segmental analysis of 4 basic areas that include the situs, atria, ventricles, and great arteries and their connections.26 28 This analysis includes an


with intracardiac catheter ablation of arrhythmogenic focus; with treatment of ventricular tachycardia or focus of ventricular ectopy including intracardiac electrophysiologic 3D mapping, when performed, and left ventricular pacing and recording, when performed 19.75 $1,174 NA +93655*

Ectopic Inferior Vena Cava Thrombus Secondary to a Tubo

A transthoracic echocardiogram showed an echogenic focus in the proximal IVC. Otherwise, apart from left ventricular hypertrophy, the cardiac function and dimensions were all normal. The patient proceeded with a trans-oesophageal echocardiogram (TOE) for better definition of the IVC mass. This revealed the mass measuring 2.0 x 5.0 cm of variable

Choroid plexus cyst, intracardiac echogenic focus

of 1.5 mm, intracardiac echogenic focus, hydronephrosis with a minimum anteroposterior diameter of the pelvis of 1.5 mm and hyperechogenic bowel. Results The prevalence of intracardiac echogenic focus, hydronephrosis and hyperechogenic bowel was signifi-cantly higher in trisomy 21 than in normal fetuses (9.6%

Module Presentation - University of Rochester

o Two vessel cord on U/S with this pregnancy and a fetal cardiac echogenic focus o Allergy to morphine - swelling of lips, explained this would not be used, consented for bilateral TAP blocks for postop pain relief Chart Note 3 Attending C-section note

The Genetic Sonogram - AIUM

Echogenic Intra-Cardiac Focus EIF Background First report by Bromley et al. She noted a relationship between EIF and Down syndrome. Obstet Gynecol 1995; 86: 998-1001 1,374 patients evaluated with a genetic sonogram 69 (5%) had EIF 4 of 22 (18%) fetuses with Down syndrome had EIF 65 of 1,374 (4.8%) normal fetuses had EIF

Echogenic Intracardiac Focus: A bright white dot in the fetal

Echogenic Intracardiac Focus: A bright white dot in the fetal heart An echogenic intracardiac focus (EIF) is a bright white spot in the fetal heart that looks like a tiny golf ball. This bright spot is due to a bit of calcium in one of the muscles that attaches to the heart valve. It is NOT an abnormality and is NOT associated with heart defects.

Echogenic Intracardiac Foci

n echogenic intracardiac focus (EIF) is defined as an echogenic area appearing within the heart that has sonographic brightness equivalent to that of bone. It is a finding commonly detected during routine anatomic surveys. Echogenic intracardiac foci represent microcalcification and fibrosis of the pap-


The intracardiac echogenic foci were detected in 17 fetuses. The mean gestational age at the time of the diag-Figure 1. Apical four chamber view of the fetal heart showing the isolated echogenic focus in the left ventricle Slika 1. Aplikalni presjek kroz fetalno srce s izoliranim hiperehogenim fokusom u lijevom ventrikulu

Left ventricular echogenic focus in the fetal heart

An echogenic focus within the left ventricle has been reported in 3.5% of fetuses between 16 and 21 weeks.1 In a study in which it was specifically sought, a left ventricular echogenic focus was identi­ fied in 20% of second and third trimester fetuses.1 Less commonly, a similar echogenic focus may be


of aneuploidy with a cardiac intraventricular echogenic focus in an at-risk patient population. J Ultrasound Med 1999;18:256. 5. Bromley B, Lieberman E, Laboda L, et al. Echogenic intracardiac focus: a sonographic sign for fetal Down syndrome. Obstet Gynecol 1995;86:998. 6. Bettelheim D, Deutinger J, Bernaschek G. The value of

Spontaneously echogenic arterial blood flow in abdominal

echogenic region,occasionally, aninglikeconfiguration oftheech-ogenicity appeared. Theswirling andvortices observed incase1 werenotpresent. Discussion Thesonographic findings inthesepatients contrast dra-matically totheusual echofree appearance offlowing arte-rialblood, yetthecause ormechanism thatmade theblood echogenic intheseaneurysms isunknown.

Intracardiac Echogenic Focus -

Aug 14, 2017 What is an intracardiac echogenic focus? An intracardiac echogenic focus (I EF) is a bright white spot seen in the baby s heart during an ultrasound. There can be one or multiple bright spots and they occur when an area of the heart muscle has extra calci-um. alcium is a natural mineral found in the body.


☐ Echogenic bowel ☐ Echogenic Cardiac focus ☐ Thickened nuchal fold Skeletal ☐ Bent Bones ☐Radial ray defect ☐Short long bones ☐Short ribs ☐Vertebral anomalies Urinary Tract Bladder exstrophy ☐ Bladder outlet obstruction Hydronephrosis Multicystic kidney ☐ Posterior Urethral Valves ☐ Renal agenesis Ventral Wall Defect

Echogenic Intracardiac Focus (EIF)

intracardiac echogenic focus, echogenic focus, cardiac echogenic focus, and echogenic intracardiac focus. If there is more than one bright spot, they are called echogenic foci. T his common ultrasound finding is seen in about 1 out of every 20 or 30 pregnancies (~3-5%). An echogenic intracardiac focus (EIF) does not affect

Last revised: March 5, 2018

- Abnormal echogenic focus concerning for IE. - Complex congenital heart disease. - Heart transplantation with valvulopathy. - Presence of permanent intra-cardiac device (including PM or ICD, prosthetic valve, annular ring, VAD, or other prosthetic material). - History of IE. - Community acquisition/onset of bacteremia (including positive

Isolated Sonographic Markers for Detection of Fetal Down

echogenic intracardiac focus was seen as single or multiple discrete foci within the cardiac ven-tricles, typically the left, with echogenicity equal to or greater than that of bone.7 The echogenic intracardiac focus was prospectively evaluated only after April 1996; for cases of trisomy 21 detected before that time, retrospective identifi-

Focused Cardiac Ultrasound

inpatient bed, a FOCUS examination was performed to exclude pericardial effusion and assess gross left ventricu-lar function. The examination revealed an echogenic mass consistent with a thrombus or vegetation associated with the pacemaker leads, moving back and forth between the right heart chambers (Figure 1 and Video 1). These findings

Echogenic Intracardiac Foci - WWL

Echogenic Intracardiac Foci Page 2 of 4 Heart Structure The picture shows a normal heart. The white lines represent the view we can get of the heart using an ultrasound machine as seen below. RA Right Atrium LA Left Atrium RV Right Ventricle LV Left Ventricle Heart Ultrasound (Echo) Ultrasound provides excellent pictures of the heart.

Echogenic Intracardiac Focus: A Sonographic Sign for Fetal

In each case, the presence or absence of an echogenic focus within the fetal cardiac ventricles was deter- mined. An echogenic intracardiac focus was deemed to be present when the echogenicity in region of papillary muscle in either ventricle was comparable to bone (Figures 1 and 2).

Significance of echogenic foci in the fetal heart

echogenic focus and risk of chromosomal abnormality, congenital heart disease or poor pregnancy outcome was found in this study. ETIOLOGY In the first descriptive study, Schechter and colleagues1 performed neonatal echocardiography in six of the 26 fetuses in which an echogenic focus was detected pre-natally.

Echogenic intracardial focus-soft marker for aneuploidy. But

LV was described as a duplicated focus. The pregnancy still continues. Now the patient is at 29 week and the finding in the LV is the same without progression. In conclusion The presence of an echogenic intracardial focus does raise the risk that the fetus has a chromosomal abnormality, most commonly Down syndrome like soft marker.

Echogenic Intracardiac Focus Existence in the First

Echogenic intracardiac focus existence in the first trimester and the role of microRNAs. Folia Med (Plovdiv) 2021;63(1):142-7. doi: 10.3897/folmed.63.e54171. Abstract Echogenic intracardiac focus (EIF) constitutes a finding in the ultrasound study that indicates an area which is echogenically bright in

Fetal Cardiac Echogenic Foci POSTNATAL OUTCOME OF ETAL

A cardiac echogenic focus within the cardiac ventricles was first described by Schechter et al in 1987 [1]. It is defined as a small structure within the fetal heart with similar or greater echogenicity to the surrounding bone and may be related to increased mineralization or even calcification [1, 2]. The incidence ranged from

Genetic Counseling for Fetal Anomalies

Echogenic intracardiac focus (EIF) Hyperechoic spot on the fetal heart Hypothesized to be calcium deposits in the muscle Associated with an increased risk for Down syndrome Choroid plexus cyst (CPC) The choroid plexus is the portion of the brain responsible for creating cerebral spinal fluid