Journal of Ultrasound in Medicine, Vol 11, Issue 7 345-348, Copyright © 1992 by American Institute of Ultrasound in Medicine
The aortic and pulmonary outflow tract screening examination in the human fetus
G. R. DeVore
Department of Obstetrics and Gynecology, LDS Hospital, Salt Lake City, Utah.
Imaging of the aortic and pulmonic outflow tracts in the fetus may be
difficult owing to fetal position. This study describes two screening
methods for imaging the outflow tracts, depending on whether the
interventricular septum was tangential (group I) or perpendicular (group
II) to the ultrasonic beam. We performed 170 examinations during the second
and third trimesters of pregnancy. The outflow tracts were imaged in 166
(97.6%). Fetuses in group I were identified much less frequently (13.2%)
than fetuses in group II (86.8%). This study would suggest that for the
outflow tracts to be imaged during a screening examination, the sonographer
should become familiar with the sonographic anatomy of the outflow tracts
when the interventricular septum is perpendicular to the ultrasound beam.