Dr. Isaac Gana
Cardiology
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Patient's Query
Hi doctor,
I am currently 26 weeks pregnant. At a recent scan, they noticed that my baby has mild cardiomegaly (the heart is enlarged, but the structure is standard) as well as a chorioangioma. The original thinking is that this was causing the enlarged heart; however, now they have identified that there is next to no venous flow in the chorioangioma, so they think it is another cause. They also noticed an enlarged placenta, and the two must be linked. I have had the harmony test, and it came back low; please advise. Thank you.
Hello,
Welcome to icliniq.com.
I understand your concern. An enlarged placenta is often associated with chorioangioma. There is a slight chance it might be causing the fetus cardiomegaly. Although your harmony test is low, it does not rule out some causes. Your age is enough risk factor. History of diabetes etc. can also be a risk factor. Do you have a history of heart disease in your family? Have you fallen ill during the duration of your pregnancy? What exactly would you love to know about the condition? Thank you.
Patient's Query
Hello doctor,
Thank you in answer to your questions. I am 40 years old, but the baby was conceived via IVF, and I used an embryo from 34 years of age. I do not have a history of heart disease in my family, and I do not suffer from it myself. I have diabetes but have not yet been tested for gestational diabetes. I have been pretty well during the pregnancy, and I recently did a blood test to check for viruses, but it came back normal. Can you tell me what other conditions may cause the fetus cardiomegaly, which the harmony test cannot pick up? I am trying to find out the cause of my baby’s disease. Is it likely to be a cause for concern? Can the problem go after birth or possibly long-term? Please help.
Hello,
Welcome back to icliniq.com.
Yes, many factors can cause fetal cardiomegaly. Hydrops fetalis, congenital heart defects, fetal cardiomyopathy, and many others. Yes, it can be of concern because it can affect the baby's development and progress after birth. It is primarily dependent on the exact type or cause. What exactly are your doctors saying in regards to management? Thank you.
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Cardiology
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