Rightward convexity of the great vessel arising from the anterior ventricle: a novel fetal marker for transposition of the great arteries

Menahem, Samuel; Rotstein, Amichay; Meagher, Simon

doi:10.1002/uog.11171

Cited by 12 publications

(19 citation statements)

References 14 publications

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“…[56] In both cases, these signs were noted, but interestingly normal arrangement pattern of 3VV known as the “dash-dot-dot” also could be produced. In a normal 3VV, the arrangement of PA, aorta, and superior vena cava (SVC) is from left to right and anterior to posterior, with a “dash” pattern created by PA continuing into DA seen in long axis while aorta and SVC seen in cross section forming the “dot-dot” pattern [Figure 4a and b].…”

Section: Discussionmentioning

confidence: 99%

Apparent normal arrangement pattern of three-vessel view in a fetus with transposition of great arteries and L-malposed aorta

et al. 2017

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Transposition of great arteries (TGA) is more commonly associated with D-malposition of great arteries where anterior aorta produces characteristic “I” sign in the three-vessel view (3VV) in fetal heart imaging. We describe two cases with TGA and L-malposition of aorta where 3VV imaging showed an apparently normal arrangement of vessels while outflow tract imaging proved vital in diagnosing transposition anatomy. Apparently, normal 3VV in the presence of disproportionate vessel caliber and inability to produce normal outflow images should raise the suspicion. Attempts should be made to produce views to show great arteries originating from respective ventricles to rule out ventriculoarterial discordance and to complete segmental analysis.

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Section: Discussionmentioning

confidence: 99%

Apparent normal arrangement pattern of three-vessel view in a fetus with transposition of great arteries and L-malposed aorta

et al. 2017

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“…In 2013, Menahem et al [32] reviewed 21 fetuses whose prenatal diagnosis of TGA was confirmed postnatally. In all cases of TGA, the authors observed an abnormal right convexity of the vessel Fig.…”

Section: Prenatal Diagnosis Of Tga By Ultrasonography and Echocardiogmentioning

confidence: 99%

“…Tongsong et al (2010) [31] 5 16-39 (mean, 26) In this study, the authors observed there were only two vessels (aorta and superior vena cava) in all cases of TGA instead of three in the 3VV ("misnomer 3 vessels"). Menahem et al (2013) [32] 21 First and second trimesters…”

Section: Prenatal Diagnosis Of Tga By Ultrasonography and Echocardiogmentioning

confidence: 99%

Prenatal diagnosis of transposition of the great arteries: an updated review

2020

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Simple transposition of the great arteries (TGA) is a cyanotic heart disease that accounts for 5% to 7% of all congenital heart diseases. It is commonly underdiagnosed in utero, with prenatal detection rates of less than 50%. Simple TGA is characterized by ventriculoarterial discordance, atrioventricular concordance, and a parallel relationship of TGA. The prenatal diagnosis of TGA influences postnatal outcomes and therefore requires planned delivery and perinatal management. For these reasons, it is important to identify the key ultrasound markers of TGA to improve the prenatal diagnosis and consequently provide perinatal assistance. The presence of two vessels instead of three in the three-vessel tracheal view, a parallel course of TGA, and identification of the origin of each of TGA are the key markers for diagnosing TGA. In addition to the classical ultrasound signs, other two-dimensional ultrasound markers such as an abnormal right convexity of the aorta, an I-shaped aorta, and the "boomerang sign" may also be used to diagnose TGA in the prenatal period. When accessible, an automatic approach using fourdimensional technologies such as spatio-temporal image correlation and sonographically-based volume computer-aided analysis may improve the prenatal diagnosis of TGA. This study aimed to review the ultrasound markers that can be used in the antenatal diagnosis of TGA, with a focus on the tools used by ultrasonographers, the obstetric and fetal medicine team, and perinatal cardiologists to improve the diagnosis of this condition.

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“…As in this case of transposition of the great arteries (Figure ), the solitary vessel represents the aorta, which is typically positioned anterior and superior to the nonvisualized pulmonary artery. In this case, the aorta makes a characteristic rightward convex course from the anterior right ventricle to the descending aorta …”

Section: Anatomy and Techniquementioning

confidence: 99%

The Fetal 3‐Vessel Views: An Illustrative Case‐Based Tutorial

Anton

Sklansky

Perez

et al. 2019

J of Ultrasound Medicine

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In 2018, the American Institute of Ultrasound in Medicine revised its obstetric Practice Parameter for the second-trimester fetal anatomic survey. The 2018 Practice Parameter recommends incorporation of the 3-vessel view and 3-vessel and trachea view "if technically feasible." Sonographers and other medical providers may require additional training and education to develop greater proficiency in obtaining and interpreting these views. This pictorial essay, including ultrasound images alongside their respective schematic diagrams, provides an upto-date, practical, and clinically oriented review of the 3-vessel view and 3-vessel and trachea view and their most common presentations in the context of congenital heart disease.

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Rightward convexity of the great vessel arising from the anterior ventricle: a novel fetal marker for transposition of the great arteries

Abstract: Objectives

Cited by 12 publications

References 14 publications

Apparent normal arrangement pattern of three-vessel view in a fetus with transposition of great arteries and L-malposed aorta

Apparent normal arrangement pattern of three-vessel view in a fetus with transposition of great arteries and L-malposed aorta

Prenatal diagnosis of transposition of the great arteries: an updated review

The Fetal 3‐Vessel Views: An Illustrative Case‐Based Tutorial

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