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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is it a matter of concern if a white spot is found in the baby's heart during ultrasound at 20 weeks of pregnancy?

i did a ultra sound at 20 wks an they send me to a specialist because they saw a white spot in the baby's heart, si i went today an they didnt mention that as a issue they say heart looks find, they only issue they seeing is his lower jaw/chin is small an want to do more test...should i be worried



Sat, 21 Dec 2013
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OBGYN 's  Response
Hello
Thanks for writing to us with your health concern.
Having a lower jaw chin that is small is called micrognathia.
Sometimes it is part of a generalized chromosomal disorder.
A white spot on the baby 's heart is called an Echogenic Cardiac Focus.
This too by itself is not a disease or disorder, but sometimes is a part of a larger abnormal syndrome.
Such findings ( micrognathia, echogenic cardiac focus ) are called soft markers.
These soft markers prompt the doctor / clinician to search for any chromosomal disorders.
Hence, further tests should be done , such as -
1. TIFFA - detailed anomaly scan in expert hands
2. Fetal Echocardiography and Doppler
3. Amniocentesis if indicated.
Do not worry, most of the times, these are just isolated lesions.
All the best.
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Is it a matter of concern if a white spot is found in the baby's heart during ultrasound at 20 weeks of pregnancy?

Hello Thanks for writing to us with your health concern. Having a lower jaw chin that is small is called micrognathia. Sometimes it is part of a generalized chromosomal disorder. A white spot on the baby s heart is called an Echogenic Cardiac Focus. This too by itself is not a disease or disorder, but sometimes is a part of a larger abnormal syndrome. Such findings ( micrognathia, echogenic cardiac focus ) are called soft markers. These soft markers prompt the doctor / clinician to search for any chromosomal disorders. Hence, further tests should be done , such as - 1. TIFFA - detailed anomaly scan in expert hands 2. Fetal Echocardiography and Doppler 3. Amniocentesis if indicated. Do not worry, most of the times, these are just isolated lesions. All the best.