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Sequential segmental approach to fetal congenital heart disease

Published online by Cambridge University Press:  19 August 2008

Shi-Joon Yoo ,
Young Ho Lee ,
Kyoung Sik Cho  and
Dae-Young Kim
Shi-Joon Yoo*
Affiliation:
Department of Diagnostic Imaging, Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada
Young Ho Lee
Affiliation:
Department of Ultrasound, Samsung Cheil Hospital and Women's Healthcare Center, Sungkyunkwan University, Chung-ku, Korea
Kyoung Sik Cho
Affiliation:
Department of Diagnostic Radiology, Asan lAedical Center, Ulsan University, Songpa-ku, Seoul, Korea
Dae-Young Kim
Affiliation:
Department of Diagnostic Radiology, Chungbuk National University Hospital, Cheongju, Chungbuk, Korea
*
Shi-Joon Yoo, MD, FRCPC, Department of Diagnostic Imaging Hospital for Sick Children, University of Toronto, 555 University Avenue, Toronto, Ontario, M5G 1X8Canada. Tel: (416) 813–6037, 6029; Fax: (416)813–7591. E-mail: shi-joon.yoo@sickkids.on.ca
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Abstract

The sequential segmental approach is now universally used in the diagnosis of congenital heart disease. Its utilization during fetal sonography has not been well described. In this review, we show how the fetal heart can be approached in a sequential segmental manner by using six basic sonographic views. The transverse view of the fetal upper abdomen is obtained to determine the arrangement of the abdominal organs, which, in most cases, provides the important clues to the determination of the atrial arrangement. The four-chamber view is obtained to evaluate the atrioventricular junctions. The views of the left and right ventricular outflow tracts are obtained to evaluate the ventriculoarterial junctions. The three-vessel view and the aortic arch view are obtained for the evaluation of the arrangement and size of the great arteries, which provides the additional clues to the diagnosis of the abnormalities involving the ventriculoarterial junctions and the great arteries. The standard protocol to acquire these six basic views is also introduced.

Keywords

Congenital heart diseasesequential segmental analysisfetal sonographyfetal echocardiography
Type
Continuing Medical Education
Information
Cardiology in the Young , Volume 9 , Issue 4 , July 1999 , pp. 430 - 444
Copyright
Copyright © Cambridge University Press 1999

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