TY - JOUR
T1 - Fetal cardiac Doppler flow studies in prenatal diagnosis of heart disease
AU - Shenker, Lewis
AU - Reed, Kathryn L.
AU - Marx, Gerald R.
AU - Donnerstein, Richard L.
AU - Allen, Hugh D.
AU - Anderson, Caroline F.
PY - 1988/6
Y1 - 1988/6
N2 - The prenatal diagnosis of fetal cardiac disease has become increasingly accurate as the technology of ultrasound has improved. Although two-dimensional real-time ultrasound remains the primary method of diagnosis, Doppler blood flow velocity estimates can provide valuable pathophysiologic information to support the anatomic diagnosis. We present six cases in which Doppler studies contributed to the accuracy of the diagnosis of fetal heart disease, including tetralogy of Fallot, right and left ventricular hypoplasia, atrioventricular canal defect, double-outlet right ventricle, and pulmonic stenosis. Velocities in these cases are compared with those in normal fetuses. If Doppler flow velocities are not consistent with the observed morphologic changes, further observations are indicated. Inasmuch as most anatomical heart lesions result in altered flow patterns, Doppler investigations of intracardiac and extra cardiac flow should be a routine component of the fetal echocardiogram when structural abnormalities are found.
AB - The prenatal diagnosis of fetal cardiac disease has become increasingly accurate as the technology of ultrasound has improved. Although two-dimensional real-time ultrasound remains the primary method of diagnosis, Doppler blood flow velocity estimates can provide valuable pathophysiologic information to support the anatomic diagnosis. We present six cases in which Doppler studies contributed to the accuracy of the diagnosis of fetal heart disease, including tetralogy of Fallot, right and left ventricular hypoplasia, atrioventricular canal defect, double-outlet right ventricle, and pulmonic stenosis. Velocities in these cases are compared with those in normal fetuses. If Doppler flow velocities are not consistent with the observed morphologic changes, further observations are indicated. Inasmuch as most anatomical heart lesions result in altered flow patterns, Doppler investigations of intracardiac and extra cardiac flow should be a routine component of the fetal echocardiogram when structural abnormalities are found.
KW - Doppler flow velocities
KW - congenital heart disease
KW - prenatal diagnosis
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U2 - 10.1016/0002-9378(88)90355-9
DO - 10.1016/0002-9378(88)90355-9
M3 - Article
C2 - 2968045
AN - SCOPUS:0023904569
SN - 0002-9378
VL - 158
SP - 1267
EP - 1273
JO - American journal of obstetrics and gynecology
JF - American journal of obstetrics and gynecology
IS - 6 PART 1
ER -