Abstract

Obstetric ultrasound evaluation of the fetus should include routine imaging of the heart. The four-chamber view provides valuable information regarding the presence or absence of structural heart disease.' Fetal heart rate and rhythm are also studied as a routine part of the obstetric scan. Thus, dysrhythmias can be evaluated accurately. The finding of unsustained fetal atrial dysrhythmia is common and usually not associated with structural heart disease.2,3 This case report describes the ultrasound evaluation of a fetus with multiple intracardiac rhabdomyomas and an unsustained asymptomatic atrial dysrhythmia. This case emphasizes the importance of the basic four-chamber fetal cardiac view when scanning the fetal heart.

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