Abstract
Extended views of the fetal heart are helpful additions to the standard screening views in advanced fetal cardiac assessment. These include additional transverse sweeps above the aortic arch and sagittal views of the fetal heart.
The transverse sweep above the aortic arch permits visualisation of the innominate vein and head and neck vessels. The systemic venous connections, aortic arch, ductal arch and short axis views of the atrioventricular valves can be visualised in sagittal views. The distinctive branching pattern of the head and neck vessels from the aortic arch can also be demonstrated.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Allan L, Dangel J, Fesslova V, et al. Recommendations for the practice of fetal cardiology in Europe. Cardiol Young. 2004;14:109–14.
Borenstein M, Minekawa R, Zidere V, et al. Aberrant rightsubclavian artery at 16 to 23 + 6 weeks of gestation: a marker for chromosomal abnormality. Ultrasound Obstet Gynecol. 2010;36(5):548–52. https://doi.org/10.1002/uog.7683.
Donofrio MT, 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(21):2183–242. https://doi.org/10.1161/01.cir.0000437597.44550.5d.
Maiz N, Plasencia W, Dagklis T, et al. Ductus venosus Doppler in fetuses with cardiac defects and increased nuchal translucency thickness. Ultrasound Obstet Gynecol. 2008;31(3):256–60. https://doi.org/10.1002/uog.5262.
The American Institute of Ultrasound in Medicine. AIUM practice guideline for the performance of fetal echocardiography. J Ultrasound Med. 2013;32(6):1067–82. https://doi.org/10.7863/ultra.32.6.1067.
The International Society of Ultrasound in Obstetrics. ISUOG Practice Guidelines (updated): sonographic screening examination of the fetal heart. Ultrasound Obstet Gynecol. 2013;41(3):348–59. https://doi.org/10.1002/uog.12403.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Electronic Supplementary Material
A twin video clip demonstrates simultaneous 2D and colour Doppler of the ductal arch. On the left side panel a longitudinal plane of the fetus demonstrates the pulmonary artery in continuity with the ductal arch connecting to the descending aorta. The aortic valve can be appreciated in short axis. The right side panel demonstrates a unaliased antegrade flow throughout the pulmonary artery, ductal and aortic arches. In addition, the ductus venosus is well seen on both clips. The typical small vessel with echogenic walls connecting the umbilical vein with the inferior vena cava can be appreciated in this longitudinal view of the fetus. (MP4 2649 kb)
Sagittal view of the aortic arch in 2D demonstrates the head and neck vessels in longitudinal cut. (MP4 3940 kb)
A twin video clip demonstrates simultaneous 2D and colour Doppler imaging of the aortic arch. A longitudinal plane of the fetus demonstrates the aortic arch and the head and neck vessels also in longitudinal cut on the left side panel. Colour Doppler confirms normal antegrade flow pattern within aortic and inferior vena cava on the right side panel. (MP4 3612 kb)
This video clip shows the fetus imaged in a longitudinal (sagittal) plane cutting the right and left ventricles in short axis. The anterior chest wall is uppermost in the video and the spine is lowermost. The right ventricle is seen anteriorly and the more circular profile of the left ventricle is posterior. The bileaflet nature of the mitral valve is appreciated as well and the short axis view of the aortic valve and the longitudinal view of the pulmonary valve and pulmonary artery which is in continuity with the ductal arch. (MP4 3947 kb)
This video clip showing the short axis view of the left ventricle and the right ventricle is obtained in the sagittal plane. The short axis view of the mitral valve shows both leaflets of the MV as well as the papillary muscles. The right ventricular outflow tract is visualised anteriorly and superiorly. (MP4 7306 kb)
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG, part of Springer Nature
About this chapter
Cite this chapter
Zidere, V., Simpson, J. (2018). Extended Views of the Fetal Heart. In: Simpson, J., Zidere, V., Miller, O.I. (eds) Fetal Cardiology. Springer, Cham. https://doi.org/10.1007/978-3-319-77461-9_3
Download citation
DOI: https://doi.org/10.1007/978-3-319-77461-9_3
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-77460-2
Online ISBN: 978-3-319-77461-9
eBook Packages: MedicineMedicine (R0)