The fetal heart: A practical sonographic approach

Roya Sohaey, William J. Zwiebel

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Structural abnormalities of the heart are a fairly common problem, affecting more than 8 of 1,000 newborns annually in the United States. Therefore, sonographic detection of these anomalies in utero is important. It is possible to detect a high percentage of fetal cardiac anomalies through proper sonographic examination using three central views of the heart: (1) the four-chamber view; (2) the aortic outflow tract view; and (3) the pulmonary output tract view. Although average sonologists may not be able to provide a precise diagnosis for a cardiac abnormality, they are able to recognize such abnormalities in a high percentage of cases by using these three views and by answering the following questions: (1) Is the heart in a normal position? (2) Is the heart size normal? (3) Are the ventricles equal in size? (4) Is there a septal defect? (5) Are the atrioventricular valves in a normal position? and (6) Is there any abnormality of the endocardium, myocardium, or pericardium? This article presents a practical approach to the detection of fetal cardiac anomalies using the four-chamber and outflow tract views. Examples of normal anatomy and cardiac pathology are provided as well as a listing of differential diagnoses that should be reviewed when certain abnormalities are visualized.

Original languageEnglish (US)
Pages (from-to)15-33
Number of pages19
JournalSeminars in Ultrasound CT and MRI
Volume17
Issue number1
DOIs
StatePublished - 1996
Externally publishedYes

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Fetal Heart
Endocardium
Congenital Heart Defects
Pericardium
Anatomy
Myocardium
Differential Diagnosis
Pathology
Lung

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology

Cite this

The fetal heart : A practical sonographic approach. / Sohaey, Roya; Zwiebel, William J.

In: Seminars in Ultrasound CT and MRI, Vol. 17, No. 1, 1996, p. 15-33.

Research output: Contribution to journalArticle

Sohaey, Roya ; Zwiebel, William J. / The fetal heart : A practical sonographic approach. In: Seminars in Ultrasound CT and MRI. 1996 ; Vol. 17, No. 1. pp. 15-33.
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