Document Detail

Ultrasound assessment of the fetal foramen ovale.
MedLine Citation:
PMID:  11251919     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: Based on the assumption that the horizontal area between the fetal foramen ovale valve and the atrial septum (the outlet) represents the limiting structure for the foramen ovale flow, our objective was to determine the normal size of this section during the second half of pregnancy. METHODS: One hundred and thirty-eight women with low-risk singleton pregnancies were examined in a cross-sectional study between 18 and 42 weeks of gestation. Using ultrasound imaging and M-mode, the area and diameter between the foramen ovale valve and the atrial septum were determined in a four-chamber view of the fetal heart above the foramen ovale limbus. The inferior vena cava cross section and right atrial width were also determined. RESULTS: The mean foramen ovale width increased from 3 mm at 18 weeks to 6 mm at term. Correspondingly, the horizontal area grew from 15 to 50 mm2. The mean ratio between this area and the area of the inferior vena cava fell from 1 at 18 weeks to 0.5 at term. The ratio between the transverse width of the foramen ovale and the right atrium remained at average 0.45-0.50 until 32 weeks, when a slight reduction was observed towards term. CONCLUSIONS: Normal values for the horizontal cross section and transverse diameter of the foramen ovale outlet were established for the second half of pregnancy. In particular, the horizontal transverse diameter and its ratio to the right atrial width are easy to determine, and use of these measurements is thus suggested for the assessment of the fetal foramen ovale.
T Kiserud; S Rasmussen
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology     Volume:  17     ISSN:  0960-7692     ISO Abbreviation:  Ultrasound Obstet Gynecol     Publication Date:  2001 Feb 
Date Detail:
Created Date:  2001-03-19     Completed Date:  2001-05-17     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9108340     Medline TA:  Ultrasound Obstet Gynecol     Country:  England    
Other Details:
Languages:  eng     Pagination:  119-24     Citation Subset:  IM    
Unit of Fetal Medicine, Department of Obstetrics and Gynecology, Bergen University Hospital, Bergen, Norway.
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MeSH Terms
Cross-Sectional Studies
Heart Atria / embryology*,  ultrasonography*
Pregnancy Trimester, Second
Reference Values
Ultrasonography, Prenatal*
Vena Cava, Inferior / embryology,  ultrasonography

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