Prenatal detection of congenital heart defects at the 11- to 13-week scan using a simple color Doppler protocol including the 4-chamber and 3-vessel and trachea views

Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine
Marcin WiechecAgnieszka Nocun

Abstract

The first goal of this study was to analyze the diagnostic performance of the 4-chamber view, 3-vessel and trachea view, and their combination in color mapping during early cardiac evaluations for selecting cases suspicious of congenital heart defects. The second goal was to describe the most common abnormal flow patterns at the levels of the 4-chamber and 3-vessel and trachea views in the late first trimester. We conducted a prospective observational study in which a simple cardiac sonographic protocol was applied in fetuses at gestational ages of 11 weeks to 13 weeks 6 days. A total of 1084 patients with known postnatal or autopsy findings were included in the study. The median maternal age was 32.3 years (range, 27-40 years). The median crown-rump length was 62.2 mm (range, 45-84 mm). Overall, there were 35 cases with a confirmed congenital heart defect (3.22%), including 16 accompanied by aneuploidy. We found that our simple first-trimester cardiac protocol was an effective screening method for congenital heart defects. The most effective approach of the 3 evaluated by us was the combined application of the 4-chamber and 3-vessel and trachea views in color mapping compared to the 4-chamber and 3-vessel and trachea views alo...Continue Reading

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Citations

Apr 20, 2016·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Lami Yeo, Roberto Romero
Jan 23, 2016·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·E QuarelloUNKNOWN CFEF
Mar 16, 2017·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Selvaraj Ravi LakshmyNity Rose
Jan 31, 2017·Obstetrical & Gynecological Survey·Katherine C BishopPiers Barker
Jul 26, 2017·Clinical Obstetrics and Gynecology·Elena Sinkovskaya
Dec 28, 2017·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Marcin PasternokMarcin Wiechec
Nov 16, 2018·Birth Defects Research·Angela McBrien, Lisa K Hornberger
Sep 13, 2018·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Ming M ZhengYa L Hu
Jun 18, 2019·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Tracy AntonDolores H Pretorius
Sep 9, 2019·Journal of Perinatal Medicine·Alaa EbrashyMohamed Momtaz
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Aug 8, 2021·Journal of Clinical Medicine·Catalin G HerghelegiuAlina Veduta
Aug 17, 2021·Radiologia brasileira·André de Souza MalhoEdward Araujo Júnior

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