Aorta Larger Than Pulmonary Artery in the Fetal 3‐Vessel View
Abstract
Objective. Fetal great artery asymmetry may accompany congenital heart disease. The fetal echocardiographic 3‐vessel view (3VV) allows assessment of the superior vena cava, ascending aorta (AA), and main pulmonary artery (MPA). Our aim was to determine the association of congenital heart disease in fetuses with an AA/MPA ratio of greater than 1. Methods. We electronically searched our fetal echocardiographic database for studies performed between March 2002 and January 2008 that showed 3VVs with AA/MPA ratios of greater than 1 and correlated the findings with the presence of congenital heart disease. Results. In 2797 fetal echocardiograms, we identified 31 fetuses with normal 4‐chamber views showing AA/MPA ratios of greater than 1 in the 3VV. Of 31 fetuses, 25 (81%) had tetralogy of Fallot (ToF) or a ToF variant, and 6 (19%) had an aortic valve abnormality or isolated dilatation of the AA. Conclusions. Screening obstetric fetal sonography showing a 3VV AA/MPA ratio of greater than 1 suggests congenital heart disease and indicates the need for comprehensive fetal echocardiography.
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In ToF, the configuration of the vessels is relatively normal, and the size of the pulmonary trunk in fetal life can be normal to only slightly decreased.
“The configuration of the vessels is relatively normal in ToF, and the size of the pulmonary trunk in fetal life can be normal to only slightly decreased.17”
From The effect of the introduction of the three‐vessel view on the detection rate of transposition of the great arteries and tetralogy of <scp>Fallot</scp> (2018) · cites this paper as [17]
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Everwijn, S. M. P., van Nisselrooij, A. E. L., Rozendaal, L., Clur, S. B., Pajkrt, E., Hruda, J., Linskens, I. H., van Lith, J. M., Blom, N. A., & Haak, M. C. (2018) · Prenatal Diagnosis · doi:10.1002/pd.5347 · Cited by 33 · see citing works
- Authors
- Rollins, R. C., Acherman, R. J., Castillo, W. J., Evans, W. N., & Restrepo, H.
- Affiliations
- University of Nevada, Las Vegas (US)
- Corresponding author
- Rollins, Robert C.
- Venue
- Journal of Ultrasound in Medicine
- Publisher
- Wiley
- Published
- 2009-01
- Volume
- 28
- Issue
- 1
- Pages
- 9-12
- ISSN
- 0278-4297 (ISSN-L)
- 1550-9613
- OpenAlex
- W1893469957
- Cited by
- 18
- References
- 22
- Citations by year
- 2023: 2 · 2022: 1 · 2020: 2 · 2019: 1 · 2018: 1 · 2016: 2 · 2014: 2 · 2012: 2
- FWCI
- 1.57
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Ultrasound in Medicine (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, tetralogy of Fallot, aortic dilatation, fetal echocardiography, prenatal screening, superior vena cava
- MeSH terms
- Aorta, Heart Defects, Congenital, Humans, Pulmonary Artery, Sensitivity and Specificity, Reproducibility of Results, Ultrasonography, Prenatal
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