Congenital heart disease (CHD) is the most common birth defect, with a reported preva-lence of 5–12 per 1000 live births. Very recently, the American Institute of Ultrasound in Medicine published a guideline recommending the use of the four-chamber and the three-vessel and trachea views to screen for CHD in the first trimester of pregnancy. Our aim is to present abnormal image patterns that are seen in the four-chamber, three-vessel, and trachea views of the fetal heart in the first trimester and to describe their association with specific CHD types. We used a total of 29 cases of CHD from the archives of Filantropia Hospital and the Maternal and Child Health Institute (INSMC) fetal medicine units. We selected cases with a clear and well-documented diagnosis of the CHD type. We identified a series of repeating color doppler flow patterns seen in the four-chamber, three-vessel, and trachea views of the studied cases. Our observations could be developed into a diagnosis algorithm to orientate the examiner to the most likely type of CHD in individual cases.
CITATION STYLE
Herghelegiu, C. G., Panaitescu, A. M., Duta, S., Vayna, A. M., Ciobanu, A. M., Bulescu, C., … Veduta, A. (2021). Ultrasound patterns in the first trimester diagnosis of congenital heart disease. Journal of Clinical Medicine, 10(15). https://doi.org/10.3390/jcm10153206
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