American Journal of Roentgenology, Vol 163, 1483-1489, Copyright © 1994 by American Roentgen Ray Society

ARTICLES

Sonographic detection of fetal anomalies of the aortic and pulmonary arteries: value of four-chamber view vs direct images

BR Benacerraf
Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston 02117.

Some investigators support the notion that the four-chamber view of the fetal heart is sufficient for the sonographic identification of most serious heart defects [1, 2]. We have found that the evaluation of the great vessels (aorta and pulmonary artery) is crucial for the detection of some of the most common heart defects, such as tetralogy of Fallot and transposition of the great arteries [3-5]. Although many abnormalities of the great vessels can be recognized indirectly by an abnormal four-chamber view, the detection of the ductus-dependent lesions often requires evaluation of the aorta and pulmonary artery outflow tracts [3-5]. This pictorial essay illustrates abnormalities of the great vessels and shows those likely to be identified with a four- chamber view as opposed to those that require direct images of the great vessels for detection.
CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    What's this?

This article has been cited by other articles:

				Y. Zheng, X.-D. Zhou, Y.-L. Zhu, X.-L. Wang, Y.-Q. Qian, X.-Y. Lei, B.-L. Chen, M. Yu, and X.-Y. Xin Three- and 4-Dimensional Ultrasonography in the Prenatal Evaluation of Fetal Anomalies Associated With Trisomy 18 J. Ultrasound Med., July 1, 2008; 27(7): 1041 - 1051. [Abstract] [Full Text] [PDF]

				J. Espinoza, S. S. Hassan, F. Gotsch, J. P. Kusanovic, W. Lee, O. Erez, L. F. Goncalves, M. L. Schoen, and R. Romero A Systematic Approach to the Use of the Multiplanar Display in Evaluation of Abnormal Vascular Connections to the Fetal Heart Using 4-Dimensional Ultrasonography J. Ultrasound Med., November 1, 2007; 26(11): 1461 - 1467. [Abstract] [Full Text] [PDF]

				J. Espinoza, R. Romero, J. P. Kusanovic, F. Gotsch, O. Erez, W. Lee, L. F. Goncalves, M. L. Schoen, and S. S. Hassan The Role of the Sagittal View of the Ductal Arch in Identification of Fetuses With Conotruncal Anomalies Using 4-Dimensional Ultrasonography J. Ultrasound Med., September 1, 2007; 26(9): 1181 - 1188. [Abstract] [Full Text] [PDF]

				J. Espinoza, J. P. Kusanovic, L. F. Goncalves, J. K. Nien, S. Hassan, W. Lee, and R. Romero A Novel Algorithm for Comprehensive Fetal Echocardiography Using 4-Dimensional Ultrasonography and Tomographic Imaging. J. Ultrasound Med., August 1, 2006; 25(8): 947 - 956. [Abstract] [Full Text] [PDF]

				G. R. DeVore and B. Polanko Tomographic Ultrasound Imaging of the Fetal Heart: A New Technique for Identifying Normal and Abnormal Cardiac Anatomy J. Ultrasound Med., December 1, 2005; 24(12): 1685 - 1696. [Abstract] [Full Text] [PDF]

				D. Bonnet, A. Coltri, G. Butera, L. Fermont, J. Le Bidois, J. Kachaner, and D. Sidi Detection of Transposition of the Great Arteries in Fetuses Reduces Neonatal Morbidity and Mortality Circulation, February 23, 1999; 99(7): 916 - 918. [Abstract] [Full Text] [PDF]