Color Doppler examination of the outflow tracts of the fetal heart: a technique for identification of cardiovascular malformations

Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology
G R DeVore

Abstract

The objective was to describe a technique using color Doppler to identify the outflow tracts of the fetal heart by directing the ultrasound transversely through the fetal chest. One hundred second- and third-trimester control fetuses were examined with real-time and color Doppler ultrasound. The ultrasound beam was directed cephalad, in the same transverse plane used to image the four-chamber view, and the outflow tracts were examined. Four fetuses with abnormal cardiovascular anatomy were examined using the above approach, to study the anatomical relationships of the outflow tracts identified with color Doppler ultrasound in normal fetuses. When the ultrasound beam was directed immediately cephalad to the four-chamber view, the aorta was identified as it exited the left ventricle. Further movement of the ultrasound beam cephalad identified the following vessels in a single plane: the main pulmonary artery perpendicular to the ascending aorta; the left pulmonary artery branching from the main pulmonary artery; the full length of the ductus arteriosus; and the transverse arch of the aorta. The ascending aorta, main pulmonary artery, ductus arteriosus and transverse aortic arch were identified in 100% of fetuses. Four fetuses wit...Continue Reading

Citations

Jan 16, 2003·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·R Chaoui, R McEwing
Jun 10, 2000·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·G Mielke, N Benda
Jun 10, 2000·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·G Mielke, N Benda
Dec 16, 2000·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·G R DeVore
Feb 13, 2001·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·J A Laudy, J W Wladimiroff
Sep 15, 2005·Current Opinion in Pediatrics·Greggory R Devore
Jul 19, 2002·Prenatal Diagnosis·C Comas GabrielA Borrell
Mar 12, 2015·Journal of Neonatal-perinatal Medicine·F GenoveseM A Palumbo
Dec 30, 2017·Echocardiography·Greggory R DeVoreMark Sklansky
Nov 23, 2005·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Greggory R Devore, Bardo Polanko
Aug 16, 2017·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·L Yeo, R Romero
Jan 10, 2019·The International Journal of Cardiovascular Imaging·Yan Kai MaoShan Shan Wang

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