21 week ultrasound showed endogenic focus (=white dot) on heart. What to expect?

Question

This morning we had our mid pregnancy ultrasound. The pregnancy is 21 weeks 4 days. Everything seems okay with our little boy, except for one little white spot on the heart. The ultrasound technician called it an endogenic focus. My midwife who explained things to me later seemed not very concerned about it. She said that it was most likely just a calcium deposit, but there was a small chance that there was a heart problem, which would require special attention right after birth. We are scheduling another ultrasound in the neighbor town with a doctor who has somewhat more exact equipment to find out more. In the meantime I'd like to know: Has anyone else seen a white dot on baby's heart in ultrasound and have there been any problems?

? · Accepted Answer

On my 20 week ultrasound, they found an echogenic intracardiac focus on the heart and a choroid plexus cyst on the baby's brain. I had another ultrasound the following week with a specialist to look into these things. Neither of those things were found on my 2nd ultrasound. My doctor told me though that neither of those things would be an issue even if they found them because of the fact that I had those tests done to see the possibility of down syndrome and trisomy 18, and both tests came back as the baby having nearly no chance of having either of those.

Shawn · Answer

Echogenic foci in the heart are no longer treated as a malformation as most of the time they resolve prior to birth.  Because of the potential risk and doctor's not wanting to miss anything it is normal for them to order a fetal echo prior to delivery.  This is a special ultrasound with a pediatric cardiologist who will look at the baby's heart anatomy and if there are any issues or not.  Most of the time the heart is normal and the echogenic foci are simply calcium deposits and nothing more

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21 week ultrasound showed endogenic focus (=white dot) on heart. What to expect?

2 Answers