Owing to the widely different levels of experience of examiners, there is a large discrepancy in study results of second trimester ultrasound screening for fetal malformations, which is a result of varying levels of obstetric scanning expertise prevalent at the reporting centre. This holds particula
In utero ultrasound diagnosis of congenital heart disease
โ Scribed by Maurizio Marasini; Massimo Cordone; Giacomo Pongiglione; Mario Lituania; Alberto Bertolini; Dionigi Ribaldone
- Publisher
- John Wiley and Sons
- Year
- 1988
- Tongue
- English
- Weight
- 500 KB
- Volume
- 16
- Category
- Article
- ISSN
- 0091-2751
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โฆ Synopsis
Two hundred and one pregnancies considered at high risk for congenital heart disease (CHD) underwent fetal cross-sectional echocardiographic (CSE) examination. In 190 cases a structurally normal heart was correctly predicted; seven cases of CHD were identified, but in two of them the specific diagnosis was inaccurate. One false positive diagnosis of a small ventricular septal defect was made. There were three false negative diagnoses: two of ventricular septal defects and one of aortic coarctation. We conclude that severe heart malformations can be reliably identified or excluded by CSE in utero, but important anatomical details may be missed. Therefore, prognosis should be based only on the structures identified to multiple-scan planes.
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