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In utero ultrasound diagnosis of congenital heart disease

โœ 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

No coin nor oath required. For personal study only.

โœฆ 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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