Ultrasound patterns in the first trimester diagnosis of congenital heart disease

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Abstract

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.

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APA

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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