What question did this study set out to answer?

To describe the prenatal sonographic findings and clinical outcomes associated with fetal hypoplasia of the left and right ventricles.

October 1, 1991Journal of Ultrasound in Medicine

Sonographic spectrum of fetal cardiac hypoplasia.

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To describe the prenatal sonographic findings and clinical outcomes associated with fetal hypoplasia of the left and right ventricles.
Retrospective case series of 7 fetuses prenatally diagnosed with cardiac hypoplasia (hypoplastic left ventricle, n=4; hypoplastic right ventricle, n=3).
Sonographic assessments analyzed fetal four-chamber views, ventricular chamber dimensions, septal integrity, and outflow tract visualization.
All 7 fetuses (100%) demonstrated an abnormal four-chamber view, with the affected ventricle being small (n=6) or absent (n=1), along with atrial septal defects (n=7) and contralateral ventricular enlargement (n=6).
Outflow tracts of the affected ventricle were poorly visualized or nonvisualized in 6 of 7 cases (85.7%), and 5 of 7 fetuses (71.4%) had an intact ventricular septum.
Outcomes differed by chamber: of 4 fetuses with hypoplastic left ventricle, 1 pregnancy was terminated and 3 died within 5 days of birth; of 3 with hypoplastic right ventricle, 1 was terminated and 2 survived after palliative surgery.

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Implication

Case series reveals abnormal four-chamber views across all cases of fetal cardiac hypoplasia, highlighting the role of routine obstetrical ultrasound in prompt referral for fetal echocardiography.

Cite This Study

McGahan et al. (1991) studied this question.

synapsesocial.com/papers/6a71f74a5d37378ac1deef01 https://doi.org/10.7863/jum.1991.10.10.539

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Implication

Case series reveals abnormal four-chamber views across all cases of fetal cardiac hypoplasia, highlighting the role of routine obstetrical ultrasound in prompt referral for fetal echocardiography.

Sonographic spectrum of fetal cardiac hypoplasia.

Key Points

Discussion

Implication

Cite This Study

Sonographic spectrum of fetal cardiac hypoplasia.

Key Points

Discussion

Implication

Cite This Study

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