Early Detection of Fetal Minor Cardiac Anomalies in High-Risk Pregnant Women Using Doppler Measurements of Ductus Venosus | ||||
Egyptian Journal of Medical Research | ||||
Volume 6, Issue 3, July 2025, Page 193-205 PDF (583.83 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/ejmr.2024.274714.1583 | ||||
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Authors | ||||
Sahar Mahmoud Abd elsalam1; Mohammed Abd Elghafar Sayed2; Ahmed Okasha3; Aya Kamal El Din Hussien ![]() | ||||
1Department of Radiology, Faculty of Medicine, Beni-Suef University | ||||
2Department of Obstetrics and Gynecology, Faculty of Medicine, Beni-Suef University | ||||
3Department of Reproductive Health and Family planning, Medical Research Institute, National Research Center, Cairo, Egypt. | ||||
Abstract | ||||
Background: Ductus venosus (DV) is a very essential regulator of oxygenated blood in fetal life, an essential component of assessing prenatal fetal cardiac activity is DV evaluation. It is a useful technique for prenatal congenital heart disease (CHD) screening and diagnosis. Objective: To evaluate the DV abnormal measurements by Doppler ultrasonography and their value to improve the prediction of fetal CHD in pregnant women. Methods: study Was carried out on 142 fetuses from 114 cases of pregnant women (28 of them had twin) with a risk factor for fetal congenital heart diseases were subjected to 1st trimester scan for detection of ductus venosus abnormality, this was followed by 2nd trimester fetal echocardiography to detect minor CHD, by using 2D ultrasound for anomaly scan and complementary by 3D. Results: our study revealed that 97.2% of the study population had (Normal A wave) normal ductus venosus, and 2.8% had abnormal A wave. Regarding the heart anomalies; (97.9%) of the study population had a normal heart scan, and 2.1% had abnormal heart scan in the form of atrioventricular septal defect (AVSD-VSD). There was a substantial correlation between prenatal echocardiography-detected heart abnormalities and ductus venosus waveforms. The cardiac defect was observed in 3 fetuses (2.1%) and 2 of these had abnormal Doppler waveforms in the ductus venosus. Conclusion: Our study concluded that there was a substantial correlation between prenatal echocardiography-detected heart abnormalities and ductus venosus waveforms. | ||||
Keywords | ||||
Fetal Cardiac Anomalies; Doppler; Ductus Venosus | ||||
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