Abstract:Objective: To retrospectively explore the value of three-vessel view(3VV) plus three vessels and trachea view(3VT) in heart and great vessel malformations by fetal echocardiography. Methods: Sixty-six fetuses with heart and great vessel malformations who received fetal echocardiography were enrolled, and the ultrasounic images of four-chamber view, outflow tract view, 3VV and 3VT were retrospectively analyzed. All the fetuses were followed up. Results: There were characteristic performances(the abnormal sequence, diameter, direction of blood flow, aortic branch) in 3VV and 3VT in fetuses with great vessel malformations. Combined with color Doppler flow imaging, these performances looked like the shapes of “V”“O”“C”“U”“Ioo”“oVo”. Abnormal manifestations occured in the 3VV and 3VT in all cases of coarctation of aortic arch(CAA), interruption of aortic arch(IAA), right aortic arch(RAA), persistent truncus arteriosus(PTA) and persistent left superior vena cava(PLSVC). However, no abnormalities in four-chamber view, outflow tract view and so on were displayed in part fetuses with great vessel malformations. Combined all the views together, the diagnostic rate of congenital heart disease can be increased. Great vessel malformations mostly combined with ventricular septal defect and single umbilical artery. Conclusion: 3VV and 3VT played important roles in prenatal diagnosis of great vessel malformations, especially for CAA, IAA, RAA, PTA and PLSVC. It is beneficial for gravida to get prenatal diagnosis, alleviate the pain and improve the quality of reproduction.
王红鹄;杨 军;韩 舒;邱 悦. 三血管及三血管气管切面在超声产前诊断胎儿心脏大血管畸形中的应用价值[J]. , 2015, 26(3): 192-196.
WANG Hong-hu;YANG Jun;HAN Shu;QIU Yue. Value of three-vessel view plus three vessels and trachea view in ultrasonic diagnosis offetal heart and great vessel malformations. , 2015, 26(3): 192-196.