Four chamber view plus three-vessel and trachea view for a complete evaluation of the fetal heart during the second trimester

Del Bianco, Antongiulio; Russo, Salvatore; Lacerenza, Nicola; Rinaldi, Matteo; Rinaldi, Giuseppe; Nappi, Luigi; Greco, Pantaleo

doi:10.1515/jpm.2006.059

Cited by 67Congenital Heart Disease StudiesPrenatal Screening and DiagnosticsFetal and Pediatric Neurological Disorders

Four chamber view plus three-vessel and trachea view for a complete evaluation of the fetal heart during the second trimester

Del Bianco, Antongiulio, Russo, Salvatore, Lacerenza, Nicola, Rinaldi, Matteo, Rinaldi, Giuseppe, Nappi, Luigi, Greco, Pantaleo·2006·Journal of Perinatal Medicine

DOI 10.1515/jpm.2006.059

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Abstract

OBJECTIVE: To test the efficacy of a recently introduced ultrasonic scanning plane (three vessel and trachea view -3VTV- plus color flow mapping -3VTVC) on a low-risk population for detection of congenital heart disease (CHD). PATIENTS AND SETTING: Antenatal clinic dealing with local low-risk population. All antenatal patients having a second trimester scan in a 1 year period. All patients had a 3VT plus 3VTC views added to routine four chamber view. Postnatal examinations were performed according to standard hospital protocol. RESULTS: 2847 patients were examined. The plane was achievable in all 23 fetuses with CHD detected, three false negative (aortic coarctation) and two false positive. Sensitivity of the examination was 88.5%, as high as more sophisticated and difficult targeted cardiac scanning. The extra time necessary to perform the test was minimal. CONCLUSION: 3VTV and 3VTCV were satisfactory used as imaging planes in a busy antenatal clinic in a low-risk population. They could be easily added to the four chamber view as routine screening for CHD and increase the detection rate to 90%.

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The effect of the 3VV on detection rates has only been sparsely investigated on an institutional basis.
“but the effect on DRs has only been sparsely investigated on institutional basis.4,5”
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Ioudina, E., & Medvedev, M. V. (2001) · Ultrasound in Obstetrics and Gynecology · doi:10.1046/j.1469-0705.2001.abs15-7.x
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, V., Rembouskos, G., Fanelli, T., Volpe, G., Muto, B., & Volpe, P. (2017) · Prenatal Diagnosis · doi:10.1002/pd.5067 · Cited by 37 · see citing works
PRENATAL DETECTION OF CONGENITAL FETAL HEART DISEASESUSING 2D GREYSCALE ULTRASOUND COMBINED FOUR-CHAMBERVIEW AND THREE-VESSEL VIEW FOLLOWED BY DOPPLER IN A HIGHRISK POPULATION -
Ali, E. I., Abdallah, A. A., M.M.Hasan, M., Gelan, S. E., & Sayed, A. A. A. (2020) · Journal of Critical Reviews
Effectiveness of fetal cardiac screening for congenital heart disease using a combination of the four‐chamber view and three‐vessel view during the second trimester scan
Itsukaichi, M., Serikawa, T., Yoshihara, K., Suzuki, H., Haino, K., Yamaguchi, M., Enomoto, T., Niigata Fetal Cardiac Screening Study Group, & Takakuwa, K. (2017) · Journal of obstetrics and gynaecology research · doi:10.1111/jog.13472 · Cited by 21 · see citing works

Authors: Del Bianco, A., Russo, S., Lacerenza, N., Rinaldi, M., Rinaldi, G., Nappi, L., & Greco, P.
Affiliations: University of Foggia (IT)
ORCID: Russo, Salvatore
Rinaldi, Giuseppe
Nappi, Luigi
Greco, Pantaleo
Venue: Journal of Perinatal Medicine
Publisher: Walter de Gruyter GmbH
Published: 2006-01-01
Volume: 34
Issue: 4
Pages: 309-12
ISSN: 0300-5577 (ISSN-L)
1619-3997
DOI: 10.1515/jpm.2006.059
OpenAlex: W2058565436
Cited by: 67
References: 14
Citations by year: 2025: 3 · 2024: 8 · 2023: 5 · 2022: 5 · 2021: 3 · 2020: 7 · 2019: 2 · 2018: 3 · 2017: 2 · 2016: 3 · 2015: 4 · 2014: 4 · 2013: 5 · 2012: 2
FWCI: 2.20
Type: journal article
Language: en
Open access: closed
Locations: Journal of Perinatal Medicine (publishedVersion)
PubMed (publishedVersion)
Institutional Research Information System University of Ferrara (University of Ferrara) (submittedVersion)
Topics: Health Sciences › Medicine › Epidemiology › Congenital Heart Disease Studies
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Prenatal Screening and Diagnostics
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Fetal and Pediatric Neurological Disorders
Keywords: fetal echocardiography, congenital heart disease, second-trimester ultrasound, color flow mapping, prenatal screening, four-chamber view, coarctation of the aorta, diagnostic sensitivity
MeSH terms: Coronary Vessels, Diagnostic Errors, Female, Fetal Heart, Gestational Age, Heart Defects, Congenital, Humans, Italy, Predictive Value of Tests, Pregnancy, Risk Factors, Sensitivity and Specificity, Trachea, Ultrasonography, Prenatal, Echocardiography, Doppler, Color

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Four chamber view plus three-vessel and trachea view for a complete evaluation of the fetal heart during the second trimester

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