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John P. McGahan, MD
Ultrasound of the Fetal Heart What You Should Know
John P. McGahan, MD
03/22/2015 | Time : 27 min
About This Lecture:

The speaker discusses how to accurately diagnose pathology of the fetal heart. List some cardiac abnormalities commonly associated with a normal four-chamber view of the heart. Discuss how the 3 vessel view is helpful in diagnosing fetal cardiac pathology.

Topics mentioned in this video : Title, Lawsuits, Start, 4 chamber, Diagnosis please question 1, Question 1 – most likely, Heterotaxy, Heterotaxy spectrum, Sonographic image, 4 chamber, 4 chamber start, Cardiac axis, Sonographic image, Dx?, Ebstein, Cardiac axis > 45, Sonographic image, Cardiac axis > 45, 4 chamber, Heart size, Sonographic image, Dx?, Increased heart size, Fetal arrhythmia, Sonographic image, Question 2 – most likely, Congenital high airway obstruction, Tracheal bronchial atresia, 4 chamber, Chamber size and thickness, Sonographic image, 4 chamber dx?, Tricuspid atresia with VSD, Video clip, Hypoplastic left heart, 4 chamber, Video clip, Question 3 – Dx?, Sonographic image, Thickened endocardium or myocardium, Cardiac rhabdomyomas, 4 chamber, Video clips, 4 chamber, Intact septum, VSD’s ultrasound, Sonographic image, There is a larger defect, Sonographic image, Trisomy 21, Sonographic image, Remember, I’ve done a 4-chamber, Cardiac abnormalities commonly associated with a normal four-chamber view of the heart, Common arterial trunk, Perpendicular to the ultrasound beam, Must have real time images!, Outflow tracts cross in real time, Question 4 – Dx?, No images showing relationship of Ao to PA in real time, Abnormal relationship, TGA, Outflow tracts case, Video clip, Problem – apex up, Problem: need real time images showing RV and LV outflow tracts together, Apex up, Examination of the fetal heart by five short axis views, Potential pitfalls…, Sonographic images, 3-vessels view, Normal relationship, N criss cross, Video clip, Sonographic image, Video clip, Abnormal 3 vessel view, Dx?, Aorta > PA, Normal, Aorta < PA, 27 yo at 27 weeks, Video clip, Maxilla, Conventional outflow tract view, 3 vessel view, PA > aorta, Vessels parallel, Video clip, 2 vessels, Video clip, 4 vessels, Abnormal 3 vessel view, The hardest job are those that performing screening (level 1) exams, Start, Summary, Question

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Keywords : 4 chamber view, aorta, AV canal, cardiac rhabdomyoma, common arterial trunk, common atrium, congenital high airway obstruction, double outlet right ventricle, Ebstein anomaly, endocardial cushion defect, fetal atria, fetal cardiac arrhythmia, fetal cardiomyopathy, fetal echocardiography, fetal heart, fetal ventricles, heterotaxy, hypoplastic left heart, left ventricular outflow tract, LVOT, overriding aorta, pulmonary artery, right ventricular outflow tract, RVOT, superior vena cava, SVC, Tetralogy of Fallot, TGA, tracheal bronchial atresia, transposition of great arteries, ventricular septal defect, VSD

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