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  1. #1
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    Default Isolated echogenic focus in heart on the 20 week ultrasound

    Hi everyone, at my 20 weeks scan, the doctors found an isolated echogenic focus in the left ventricle of the heart which is a soft marker for Down Syndrome. My bloods and NT scan came back normal and my risk is 1:11000, and according to the doctors, its very common and when found alone it does not increase the risk by much.
    We are all losing sleep over this, we are super worried that our daughter might have DS. We would still love her the same but this not knowing is very stressdul.
    I am 29, healthy and no history of Down Syndrome from both sides.
    Just wondering if any of the mums out there have experienced this also and what was the outcome.
    Your input is much appreciated!
    Thanks

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    Hi tubster,
    I am in a very similar position to you but I am now 33+3d pregnant. I have just turned 30 last week and had great results from 12 week screening but at 20 week scan they found the echogenic focus on the heart and they also thought they saw one on the bowel too. I freaked out and was sent to a specialist in capital city for a more in depth scan. The one on the bowel didn't exist but the one on the heart was there clear as day. The specialist said that on its own the focus on the heart was not really an indicator of DS but could not rule it out 100% but he think our bub would have DS and told me he sees it all the time in babys that do not have DS. I was still so wound up by my crappy 20 week scan that I opted to have an amino done as I didn't want any unexpected surprises at birth and to put my mind at ease for the rest of the pregnancy( this is my first bub). Results of amino came back 2 weeks later with no chromosomal abnormalities at all! What a relief! The focus is still present on the heart. I have seen it on 3 scans since the specialist scan but my private obstetrician is not worried about it at all and has told me that it doesn't impact on the functioning of the heart in any way. It is just a build up of calcium that will dissolve at some point. Hope this helps a little. This is just my personal experience. Good luck

  3. #3
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    Hi tubster

    Our ultrasound tech found a echogenic foci in our little girls left ventricle at our 20 week scan. Her reaction to her findings had us worried and in tears for weeks until we had a follow up scan 5 weeks later.

    During that time my mum was the google queen and found so much info that says that some drs are trying to get this finding removed as being a soft marker for downs.

    Normally what happens with soft markers are that there have to be another 3 in conjunction with the foci in the heart for there to be a concern. So if limbs are measuring fine and there are no other 'soft markers' then it's just one of those things that will most likely fix itself. as Stumpy said, it's a calcium deposit on the heart.

    We were referred to a genetic counsellor by our hospital, and when she called me she basically said she wasn't sure why our case was put on her desk. she said 3% of babies born have this and it has no effect on them or their development.
    Especially as our blood results and 13 week scan were absolutely fine!

    Thankfully I work in radiology on the admin side so I had access to radiologists and sonographers who were willing to explain things to me in more detail.

    The only person who had such a strong reaction to the foci was the lady doing the scan, and to be honest she scared the living hell out of us, especially as this pregnancy was following a missed m/c and we thought we weren't going to get to take this one home either. So her reaction in the end wasn't necessary at all. It was never suggested to us to have any further testing like amnio.

    We've just been told to get it followed up after our daughters birth but downs has pretty much been ruled out.

    I know it's really hard, but please don't let it stress you out.

    We kept joking after all the stress that she grew the foci so we could see her more often after the 20 week scan, because she knows i was such a stress head after our loss.

    I'm 37 weeks tomorrow and she's currently doing her best to move my ribs out of her way. all the best with the rest of your pregnancy
    Last edited by itspinkrock; 09-06-2012 at 11:56. Reason: replying

  4. #4
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    Thank you ladies for your replies.
    I have been doing a LOT of googling and everything seems positive and I have a good chance of having a healthy girl. But I am trying to prepare myself for the worst. I have been thinking about an amnio, so I know exactly whats going on. But worry about infections and preterm labour or losing the baby!
    I am trying to relax and enjoy this pregnancy more but its hard.
    @itspinkrock not far to go hope all turns out well for you! Please keep me updated with your outcome


 

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