Fetal hypertrophic cardiomyopathy - maternal diabetes-induced
Maternal diabetes. Known fetal hypertrophic cardiomyopathy by prior ultrasounds (not shown). Evaluate abdomen and rule-out testicular torsion (bluish scrotal discoloration).
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Collages of ultrasound images show marked hypertrophy of both ventricular walls, predominantly affecting the interventricular septum which was measured at 1.5 cm. This was known by prior gestational ultrasounds (not shown).
Subsequent dedicated cardiac ultrasound by a pediatric cardiologist confirmed a septal-predominant obstructive hypertrophic cardiomyopathy. Due to the known association with fetal hypertrophic cardiomyopathy, the etiology was attributed to the mother's known diabetes throughout pregnancy.