Cited by 37Congenital Heart Disease StudiesPrenatal Screening and DiagnosticsCongenital heart defects research

The three‐vessel and trachea view (3VTV) in the first trimester of pregnancy: an additional tool in screening for congenital heart defects (CHD) in an unselected population

De Robertis, Valentina, Rembouskos, Georgios, Fanelli, Tiziana, Volpe, Grazia, Muto, Brunella, Volpe, Paolo·2017·Prenatal Diagnosis

Abstract

Objective: The aim of the study was to evaluate the feasibility of obtaining the three‐vessel and trachea view (3VTV) in an unselected population undergoing first trimester screening for aneuploidy, and to investigate its role in the early detection of congenital heart defects (CHD). Methods: Cardiac examination was performed by expert sonographers. Abnormal findings of 3VTV were classified in three different subgroups: number, size and spatial relationship of the vessels. Results: We enrolled 6350 consecutive singleton pregnancies and included 5343 cases. Examination of 3VTV was feasible in 94% of cases. Fifty‐seven (1%) CHD were present in the study period; 24 cases were excluded because parents opted for termination of pregnancy. Of the remaining 33 cases, 25 were suspected at the first trimester and eight were detected only at the mid‐trimester. An abnormal 3VTV was suspected in 22 cases, and it was confirmed in 21. Five cases that were erroneously classified in the subgroup of abnormal vessel number were actually characterized by a diminutive size of one of the great arteries. The detection rate for CHD, including 4‐CV and 3VTV, was 75.8%. Conclusions: Our study demonstrates that 3VTV is an easy plane to obtain by expert sonographers in an unselected population during first trimester. Typical suspicions include detection of abnormal number, size or spatial relationship of the vessels. © 2017 John Wiley & Sons, Ltd.

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Crossref · 10.1002/pd.5067

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Authors
De Robertis, V., Rembouskos, G., Fanelli, T., Volpe, G., Muto, B., & Volpe, P.
Affiliations
  • Fetal Medicine Unit, Di Venere and Sarcone Hospitals Bari Italy
  • University of Bari Aldo Moro (IT)
Corresponding author
Volpe, Paolo
Venue
Prenatal Diagnosis
Publisher
Wiley
Published
2017-06-13
Volume
37
Issue
7
Pages
693-698
ISSN
  • 0197-3851 (ISSN-L)
  • 1097-0223
OpenAlex
W2614347639
Cited by
37
References
23
Citations by year
2026: 4 · 2025: 4 · 2024: 6 · 2023: 5 · 2022: 1 · 2021: 7 · 2020: 2 · 2019: 4 · 2018: 2 · 2017: 2
FWCI
2.14
Type
journal article
Language
en
Open access
closed
Locations
  • Prenatal Diagnosis (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Epidemiology › Congenital Heart Disease Studies
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Prenatal Screening and Diagnostics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Congenital heart defects research
Keywords
congenital heart disease, first-trimester screening, prenatal ultrasound, preimplantation genetic testing for aneuploidy, detection rate, unselected population
MeSH terms
Adolescent, Adult, Feasibility Studies, Female, Fetal Heart, Heart Defects, Congenital, Humans, Middle Aged, Pregnancy, Prospective Studies, Ultrasonography, Prenatal, Young Adult

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