The role of the three vessels and trachea view (3VT) in the diagnosis of congenital heart defects

Viñals, Fernando Nuez; Heredia, F.; Giuliano, A.

doi:10.1002/uog.882

Cited by 87 publications

(81 citation statements)

References 22 publications

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“…12,18,19,26,27 Subsequent studies have investigated the roles of these views specifically in prenatal detection of tetralogy of Fallot. 20,21,28,29 Series of 1521, 2028, and 2520 fetuses with tetralogy of Fallot showed frequent abnormal vessel alignment in the 3-vessel or 3-vessel and trachea view, and the aortic arch isthmus typically measured larger than the ductus arteriosus.…”

Section: Discussionmentioning

confidence: 99%

Role of the 3‐Vessel and Trachea View in Antenatal Detection of Tetralogy of Fallot

Palatnik

Grobman

Cohen

et al. 2016

J of Ultrasound Medicine

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etralogy of Fallot is the most common form of cyanotic congenital heart disease and accounts for 3% to 5% of all congenital heart diseases. 1 The classic anatomic form of tetralogy of Fallot includes a subaortic ventricular septal defect, an aortic root that overrides the ventricular septal defect, infundibular pulmonary stenosis, and concentric right ventricular hypertrophy, with the last feature developing postnatally. More severe forms include right outflow obstruction such as an absent pulmonary valve and pulmonary atresia. Prenatal diagnosis in cases with severe obstruction provides the opportunity to administer early prostaglandin infusion after delivery to maintain ductal patency, thus avoiding life-threatening cyanosis in the early neonatal period. 2 However, the frequency of in utero diagnosis of tetralogy of Fallot has been reported to be only 32% to 47% and varies between different screening centers. [3][4][5][6][7] The contributing factors to the relatively low frequency of prenatal diagnosis are the frequently normal appearance of the 4-chamber view, poor visualization of the outflows tracts, and delay in the evolution of pulmonary atresia, which may only occur in the third trimester. [8][9][10] Anna Palatnik, MD, William A. Grobman, MD, MBA, Leeber S. Cohen, MD, Jeffrey S. Dungan, MD, Nina L. Gotteiner, MD Received September 17, 2015, CASE SERIESPrenatal diagnosis of tetralogy of Fallot remains less frequent compared to other major congenital heart defects. In this study, we examined how often the 3-vessel and trachea view was abnormal in a large series of prenatally diagnosed cases of tetralogy of Fallot. In addition, we compared its sensitivity to that of the traditional outflow tract views for detection of tetralogy of Fallot. We found that both views were abnormal in all fetuses with tetralogy of Fallot, showing reversed aortic-to-pulmonary valve and aortic arch isthmus-to-ductus arteriosus ratios in the outflow tract and 3-vessel and trachea views, respectively. However, as a single measured marker, the enlarged aortic arch isthmus on the 3-vessel and trachea view appears to be the most sensitive for tetralogy of Fallot.

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Section: Discussionmentioning

confidence: 99%

Role of the 3‐Vessel and Trachea View in Antenatal Detection of Tetralogy of Fallot

Palatnik

Grobman

Cohen

et al. 2016

J of Ultrasound Medicine

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“…[4][5][6][7][8][9][10][11][12][13]18 Extreme levocardia is also associated with CHDs. 19,20 More than 50% of our patients had extreme levocardia.…”

Section: B Amentioning

confidence: 99%

“…[2][3][4][5][6][7] Great artery asymmetry may suggest congenital heart disease. [4][5][6][7][8][9][10][11][12][13] Throughout gestation, the fetal main pulmonary artery (MPA) is normally equal to or slightly larger than the fetal ascending aorta (AA), except occasionally in the early second trimester, when the AA may be slightly larger than the MPA. 2,14,15 Additionally, great artery sizes are preserved in growth-restricted fetuses.…”

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confidence: 99%

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

Rollins

Acherman

Castillo

et al. 2009

J of Ultrasound Medicine

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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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“…[1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18] Most people probably use the 4-chamber view, the 3-vessel-trachea view, outflow tracts, and, when appropriate, additional views, yet there is not an easy reference for the person who reads an examination to have an "atlas" of the abnormal findings in these views. The purpose of this 3-part series is to put together common anomalies that can be recognized in some particular locations during ultrasound investigation.…”

mentioning

confidence: 99%

A Review of Findings in Fetal Cardiac Section Drawings

Jeanty¹,

Chaoui²,

Tihonenko

et al. 2007

Journal of Ultrasound in Medicine

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Objectives. The goal of this presentation is to review some of the common and rare fetal heart abnormalities and to provide an easy approach to these findings with schematic drawings. Methods. Over the past 10 years, we collected cases in which the common views of the heart were abnormal and the differential diagnoses that existed for each. The presentation shows the normal sonographic sections and then variations of these sections and the associated anomalies. We used illustrative drawings to present these findings, enabling us to point out the main sonographic features of abnormalities of the heart. Results. The work reviews 17 fetal heart abnormalities in schematic drawings. Conclusions. This short review highlights several of the anomalies that can be recognized on the common sonographic views. The drawings tend to simplify the findings but serve as a basis for those doing fetal echocardiography when they encounter an unusual finding.

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The role of the three vessels and trachea view (3VT) in the diagnosis of congenital heart defects

Abstract: Objective To analyse the anomalies seen at the three vessels and trachea (3VT) view in fetuses with antenatally diagnosed congenital heart disease (CHD),

Cited by 87 publications

References 22 publications

Role of the 3‐Vessel and Trachea View in Antenatal Detection of Tetralogy of Fallot

Role of the 3‐Vessel and Trachea View in Antenatal Detection of Tetralogy of Fallot

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

A Review of Findings in Fetal Cardiac Section Drawings

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