Transposition of the great arteries (TGA) - fetal echocardiogram

Case contributed by Bahman Rasuli
Diagnosis almost certain

Presentation

22 weeks fetus was referred for fetal echocardiography because of an abnormal three vessels view on routine anomaly scan.

Patient Data

Age: 30 years
Gender: Female
  • normal four-chamber view
  • parallel arrangement of great arteries.
  • aorta (Ao) arises from the right ventricle (RV) and appears as a long vessel
  • pulmonary artery (PA) originates from the left ventricle (LV)

Bifurcation of PA forms an image of a baby bird with an open beak (Baby bird’s beak sign).

Case Discussion

This case shows typical findings of d-type transposition of the great arteries.

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