2016
DOI: 10.7863/ultra.15.04041
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Anomalous Pulmonary Venous Return

Abstract: Although fetal echocardiography has improved the overall detection of TAPVR or PAPVR, this abnormality continues to elude prenatal diagnosis during screening in both low- and high-risk patients. We hypothesize that the use of color flow Doppler imaging in the 4-chamber view may assist in diagnosing TAPVR in screening low-risk patients, especially in those with difficult scans.

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Cited by 25 publications
(16 citation statements)
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“…41 the great arteries, tetralogy of Fallot, and total anomalous pulmonary venous return remain elusive diagnoses. 47 Research on ultrasonographic techniques such as improving four-chamber 48 and outflow tract 49,50 images, and employing artificial intelligence for detection 51 could increase prenatal diagnosis rates of these technically difficult diagnoses. 52 There are limitations in our study.…”
Section: Discussionmentioning
confidence: 99%
“…41 the great arteries, tetralogy of Fallot, and total anomalous pulmonary venous return remain elusive diagnoses. 47 Research on ultrasonographic techniques such as improving four-chamber 48 and outflow tract 49,50 images, and employing artificial intelligence for detection 51 could increase prenatal diagnosis rates of these technically difficult diagnoses. 52 There are limitations in our study.…”
Section: Discussionmentioning
confidence: 99%
“…The prenatal diagnosis of TAPVC remains challenging, with reported detection rates of only 1.9-10% [1][2][3][4] . For decades, various investigators have focused on the increased left atrium-descending aorta distance (LDD), also known as the retroatrial space, as a diagnostic indicator of fetal TAPVC 1,3,[5][6][7][8] . Kawazu et al 9 were the first to report on the post-left atrium space (PLAS) index, finding it to be higher in cases with TAPVC than in those with a normal heart.…”
Section: Introductionmentioning
confidence: 99%
“…The prenatal diagnosis of TAPVC remains challenging, with reported detection rates of only 1.9–10% 1–4 . For decades, various investigators have focused on the increased left atrium–descending aorta distance (LDD), also known as the retroatrial space, as a diagnostic indicator of fetal TAPVC 1,3,5–8 . Kawazu et al 9 .…”
Section: Introductionmentioning
confidence: 99%
“…TAPVC is the only condition among cyanotic heart diseases that involves venous malformation, and it is easily misdiagnosed 7 . Early diagnosis of TAPVC—especially prenatally—is critical because after birth, cyanosis often occurs through the mixing of blood in the systemic and pulmonary circulations, which may be accompanied by PV reflux obstruction 8 and lead to a poor outcome without timely intervention. Early diagnosis of abnormal venous drainage is also an important consideration for surgery 9 12 .…”
Section: Introductionmentioning
confidence: 99%
“…Because of its noninvasiveness and convenience and real-time monitoring capabilities, prenatal ultrasound is becoming the preferred method for diagnosing TAPVC, especially with the development of new scanning technologies such as color flow Doppler imaging and spatiotemporal image correlation, which has improved the diagnosis rate. However, given the lack of awareness of this rare malformation and the fact that it is often accompanied by complex cardiac and intracardiac malformations, TAPVC can be easily overlooked or misdiagnosed 14 .…”
Section: Introductionmentioning
confidence: 99%