Ventricular and Great Artery Disproportion during routine Fetal Heart Imaging Evaluation and Management

Technical Report

Authors

  • ΙΩΑΝΝΗΣ ΓΕΡΜΑΝΑΚΗΣ ΙΑΤΡΙΚΗ ΣΧΟΛΗ ΠΑΝΕΠΙΣΤΗΜΙΟΥ ΚΡΗΤΗΣ

Keywords:

disproportion, fetal heart, great artery, ventricle, anomaly scan, ultrasound, fetal echocardiogram, midgestation, basic fetal heart imaging, technical report

Abstract

Size discrepancy (disproportion) between left and right cardiac chambers (atria, ventricles) and /or great arteries is easily identified during routine mid-gestational ultrasound screening (basic fetal heart imaging), representing a referral indication for detailed fetal echocardiogram to rule out the presence of fetal congenital heart disease. In the present review the appropriate imaging technique to avoid foreshortening of ventricular chambers during basic fetal heart imaging, non-cardiac causes of heart chamber disproportion as well as common congenital heart defects associated with chamber and artery disproportion during routine ultrasound fetal imaging are presented

References

ISUOG Practice Guidelines (updated): sonographic screening examination of the fetal heart. Ultrasound Obstet Gynecol 2013; 41: 348–359

AIUM Practice Parameter for the Performance of Fetal Echocardiography. J Ultrasound Med. 2020 Jan;39(1):E5-E16

Donofrio M, Moon-Grady AJ, Hornberger LK, et al. Diagnosis and Treatment of Fetal Cardiac Disease: A Scientific Statement From the American Heart Association. Circulation. 2014;129:2183-2242

Lee W, Allan L, Carvalho JS, et al. ISUOG consensus statement: what constitutes a fetal echocardiogram? Ultrasound Obstet Gynecol 2008; 32: 239–242

Γερμανάκης, Ι., Βλάχος, Α., Γιαννόπουλος, Α., & Παπαδοπούλου-Λεγμπέλου, Κ. (2015). Εισαγωγή στην Παιδοκαρδιολογία / Βασικές αρχές εμβρυικής και παιδιατρικής Καρδιολογίας. [Προπτυχιακό εγχειρίδιο]. Κάλλιπος, Ανοικτές Ακαδημαϊκές Εκδόσεις. https://hdl.handle.net/11419/304

Battistoni G, Montironi R, Di Giuseppe J, et al. Foetal ductus arteriosus constriction unrelated to non-steroidal anti-Inflammatory drugs: a case report and literature review. Ann Med. 2021 Dec;53(1):860-873.

Familiari A, Morlando M, Khalil A. Risk Factors for Coarctation of the Aorta on Prenatal Ultrasound: A Systematic Review and Meta-Analysis. Circulation . 2017 Feb 21;135(8):772-785

Gabbay-Benziv R, Turan OM, Harman C, Turan S. Nomograms for Fetal Cardiac Ventricular Width and Right-to-Left Ventricular Ratio. J Ultrasound Med. 2015 Nov;34(11):2049-55.

DeVore G. Equations for the Right-to-Left Ventricular Ratio and Right and Left Ventricular Widths Do Not Match the Corresponding Tables J Ultrasound Med . 2019 Feb;38(2):553-554.

DeVore G, Cuneo B , Klas B , et al. Comprehensive Evaluation of Fetal Cardiac Ventricular Widths and Ratios Using a 24-Segment Speckle Tracking Technique. J Ultrasound Med. 2019 Apr;38(4):1039-1047

Garcia Otero L, Soveral I, Sepuvelda-Martinez A, et al. Reference ranges for fetal cardiac, ventricular and atrial relative size, sphericity, ventricular dominance, wall asymmetry and relative wall thickness from 18 to 41 gestational weeks Ultrasound Obstet Gynecol . 2021 Sep;58(3):388-397

Gonclaves LF, Lee W, Espinoza J, Romero R. Examination of the fetal heart by four-dimensional (4D) ultrasound with spatio-temporal image correlation (STIC). Ultrasound Obstet Gynecol 2006; 27: 336–348

Γερμανάκης Ι. Tρισδιάστατη (3D) υπερηχοκαρδιογραφία στο έμβρυο. ΥΠΕΡΗΧΟΓΡΑΦΙΑ ΤΟΜ.1, ΤΕΥΧ.3, ΣΕΛ. 49-52, 2004

Germanakis I, Sifakis S. The impact of fetal echocardiography on the prevalence of liveborn congenital heart disease. Pediatr Cardiol. 2006 Jul-Aug;27(4):465-72

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Published

2024-04-24