| Role of ultrasonography in early gestation in the diagnosis of congenital heart defects. | |
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MedLine Citation:
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PMID: 20427794 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: The purpose of this series was to determine the sensitivity of ultrasonography in early gestation (UEG) using nuchal translucency (NT) and the 4-chamber view (4CV) in the early diagnosis of congenital heart defects (CHDs). METHODS: This was a retrospective chart review of all patients presenting for UEG between 2002 and 2009. At our center, a survey of fetal anatomy is performed at the time of the NT assessment at 11 weeks to 13 weeks 6 days. A second-trimester scan (STS) is done at 20 to 23 weeks and a third-trimester scan at 32 to 35 weeks. Suspected cases of CHDs were evaluated by a pediatric cardiologist. All neonates were examined at birth by a pediatrician, and when clinically indicated, fetal echocardiography was performed. RESULTS: A total of 1370 fetuses were scanned. Congenital heart defects were identified in 8 (0.6%). Nuchal translucency was above the 95th percentile for gestational age (GA) in 6 of 8, and the 4CV was abnormal in 6 of 8. Ultrasonography in early gestation detected 75% fetuses with CHDs, and 25% were detected by an STS. CONCLUSIONS: Our study emphasizes the importance of UEG in the detection of CHDs. In this small unselected low-risk population, UEG detected 75% of CHDs. Nuchal translucency was above the 95th percentile for GA, the 4CV was abnormal, or both in all 8 cases with CHDs. |
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Authors:
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Reem S Abu-Rustum; Linda Daou; Sameer E Abu-Rustum |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine Volume: 29 ISSN: 1550-9613 ISO Abbreviation: J Ultrasound Med Publication Date: 2010 May |
Date Detail:
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Created Date: 2010-04-29 Completed Date: 2010-08-04 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8211547 Medline TA: J Ultrasound Med Country: United States |
Other Details:
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Languages: eng Pagination: 817-21 Citation Subset: IM |
Affiliation:
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Center for Advanced Fetal Care, Najah Center, Tripoli, Lebanon. raburustum@yahoo.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Female Gestational Age Heart Defects, Congenital / ultrasonography* Humans Male Reproducibility of Results Sensitivity and Specificity Ultrasonography, Prenatal / methods* |
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