JUM Parker Laboratories, Inc
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Rollins, R. C.
Right arrow Articles by Restrepo, H.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Rollins, R. C.
Right arrow Articles by Restrepo, H.
© 2009 by the American Institute of Ultrasound in Medicine
J Ultrasound Med 28:9-12 • 0278-4297

Aorta Larger Than Pulmonary Artery in the Fetal 3-Vessel View

Robert C. Rollins, MD, Ruben J. Acherman, MD, William J. Castillo, MD, William N. Evans, MD and Humberto Restrepo, MD, MPH

Children’s Heart Center, Las Vegas, Nevada USA; and Division of Cardiology, Department of Pediatrics, University of Nevada School of Medicine, Las Vegas, Nevada USA.

Address correspondence to Robert C. Rollins, MD, Children’s Heart Center, 3006 S Maryland Pkwy, Suite 690, Las Vegas, NV 89109 USA. E-mail: rollins{at}childrensheartcenter.com

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.

Key Words: fetal aorta • fetal cardiology • fetal echocardiography • fetal heart • fetal pulmonary artery

Abbreviations: AA, ascending aorta • CHD, congenital heart defect • MPA, main pulmonary artery • 3VV, 3-vessel view • ToF, tetralogy of Fallot




This article has been cited by other articles:


Home page
 J Ultrasound MedHome page
Q. Wu, M. Li, L. Ju, W. Zhang, X. Yang, Y. Yan, and W. Wang
Application of the 3-Vessel View in Routine Prenatal Sonographic Screening for Congenital Heart Disease
J. Ultrasound Med., October 1, 2009; 28(10): 1319 - 1324.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 2009 by the American Institute of Ultrasound in Medicine.