Medical history A 32-years-old female, in her second pregnancy, is submitted to fetal echocardiographic evaluation due to intrauterine growth restriction (10-percentile), with normal previous propaedeutic (nuchal translucency and obstetrical ultrasound without further alterations). Gestational age of 21 weeks and 3 days. The patient had no remarkable medical history, without known usage of drugs, alcohol or tobacco. Fetal Echocardiography in four-chamber view. Question:Considering the clinical history and images presented, what is the most likely diagnosis? Atrial Septal Defect (ASD) Ebstein Anomaly Ventricular Septal Defect (VSD) Complete Atrioventricular Canal Defect (CAVC) Test question (EBSERH – HUAP - UFF) Pediatric Cardiology – 2016Question:The Complete Atrioventricular Canal Defect (CAVC) is the most common heart disease in patients with Down syndrome, and those with Down syndrome represent about 70% of patients with CAVC. Rastelli's classification is based on the relation of the anterior leaflet to the top of the interventricular septum or to the right ventricle’s papillary muscles. The most frequent type (70%) occurs when the anterior bridge leaflet is inserted at the top of the interventricular septum and is classified as: Type A Type B Type C Type D Combined Time is Up! Time's up
