Prenatal Detection of Congenital Fetal Heart Diseases using 2D greyscale ultrasound combined with Doppler in a high-risk population | ||||
Minia Journal of Medical Research | ||||
Volume 31, Issue 4, October 2020, Page 59-67 PDF (344.07 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/mjmr.2022.217066 | ||||
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Authors | ||||
Alshaimaa A. Albadawy1; Esam I. Ali1; Ameer A. Abdallah1; Moemen M. Hasan2; Saad El Gelany 1 | ||||
1Department of Obstetrics and Gynecology, Faculty of Medicine, Minia University, Minia, Egypt | ||||
2Department of Obstetrics and Gynecology, Faculty of Medicine, Minia University, Minia, Egyp | ||||
Abstract | ||||
Aim: We aimed to assess the accuracy and predictive value of fetal cardiac screening for congenital heart disease (CHD) at 18-22 gestational weeks in high-risk patients. Methods: In this study of fetal cardiac screening, four-chamber view, three-vessel view, outflow tracts followed by Doppler were recorded by obstetricians at 18–22 gestational weeks. A total of 438 fetuses that were scheduled for delivery at our hospital were included. Results: Forty-four newborns were born with CHD (10.9%). The prenatal detection rate of CHD was (72.7%). Although 80% of structural abnormality was diagnosed antenatally, only 44.4 % of valvular abnormality was diagnosed. Conclusion: Detailed fetal heart scan performed by skilled obstetricians had a high detection rate for structural rather than valvular CHD in high-risk populations. The integration of this scan with multiple appropriate cardiac views into routine second trimester scan may improve the detection rate of fetal CHD and give a chance for parental counseling. | ||||
Keywords | ||||
congenital heart disease; four-chamber view; prenatal diagnosis; three-vessel view; outflow tract; Doppler | ||||
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