The Additional Role of the 3-Vessels and Trachea View in Screening for Congenital Heart Disease

<i>Background and Objectives</i>: Although frequent and associated with high mortality and morbidity rate, congenital heart disease (CHD) has a suboptimal prenatal detection rate, with significant variation according to the scanning protocol. The aim of this study was to evaluate the rol...

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Main Authors: Roxana Gireadă, Demetra Socolov, Elena Mihălceanu, Roxana Matasariu, Alexandra Ursache, Mona Akad, Iuliana Bujor, Ioana Scripcariu, Radu Florin Popa, Răzvan Socolov
Format: Article
Language:English
Published: MDPI AG 2022-02-01
Series:Medicina
Subjects:
Online Access:https://www.mdpi.com/1648-9144/58/2/262
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author Roxana Gireadă
Demetra Socolov
Elena Mihălceanu
Roxana Matasariu
Alexandra Ursache
Mona Akad
Iuliana Bujor
Ioana Scripcariu
Radu Florin Popa
Răzvan Socolov
author_facet Roxana Gireadă
Demetra Socolov
Elena Mihălceanu
Roxana Matasariu
Alexandra Ursache
Mona Akad
Iuliana Bujor
Ioana Scripcariu
Radu Florin Popa
Răzvan Socolov
author_sort Roxana Gireadă
collection DOAJ
description <i>Background and Objectives</i>: Although frequent and associated with high mortality and morbidity rate, congenital heart disease (CHD) has a suboptimal prenatal detection rate, with significant variation according to the scanning protocol. The aim of this study was to evaluate the role of the 3-vessels and trachea view (3VT) in detecting CHD, with or without the use of Color Doppler, with an emphasis on major CHD. <i>Materials and Methods</i>: We performed a retrospective study on 1596 unselected pregnant patients presenting at 11–37 weeks of gestation for a routine anomaly scan. We selected all CHD cases, and we analyzed the performance of the 4-chamber (4C) and 3VT view in detecting CHD. <i>Results</i>: A total of 46 fetuses with CHD were identified, yielding a 2.86% overall incidence, and 0.87% for major CHD. Grayscale 4C detected 47.8% of all CHD, going up to 71.7% by adding grayscale 3VT, with no major CHD remaining undetected by combining grayscale 4C and 3VT. <i>Conclusions</i>: Grayscale 4C and 3VT views are effective in detecting major CHD, thus proving their utility even in a low resource setting.
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spelling doaj.art-fd23dc20c10f4ce8980c8af39cff1d802023-11-23T21:00:36ZengMDPI AGMedicina1010-660X1648-91442022-02-0158226210.3390/medicina58020262The Additional Role of the 3-Vessels and Trachea View in Screening for Congenital Heart DiseaseRoxana Gireadă0Demetra Socolov1Elena Mihălceanu2Roxana Matasariu3Alexandra Ursache4Mona Akad5Iuliana Bujor6Ioana Scripcariu7Radu Florin Popa8Răzvan Socolov9Department of Obstetrics and Gynecology, University of Medicine and Pharmacy ‘Gr. T. Popa’, 700115 Iaşi, RomaniaDepartment of Obstetrics and Gynecology, University of Medicine and Pharmacy ‘Gr. T. Popa’, 700115 Iaşi, RomaniaDepartment of Obstetrics and Gynecology, University of Medicine and Pharmacy ‘Gr. T. Popa’, 700115 Iaşi, RomaniaDepartment of Obstetrics and Gynecology, University of Medicine and Pharmacy ‘Gr. T. Popa’, 700115 Iaşi, RomaniaDepartment of Obstetrics and Gynecology, University of Medicine and Pharmacy ‘Gr. T. Popa’, 700115 Iaşi, RomaniaDepartment of Obstetrics and Gynecology, University of Medicine and Pharmacy ‘Gr. T. Popa’, 700115 Iaşi, RomaniaDepartment of Obstetrics and Gynecology, University of Medicine and Pharmacy ‘Gr. T. Popa’, 700115 Iaşi, RomaniaDepartment of Obstetrics and Gynecology, University of Medicine and Pharmacy ‘Gr. T. Popa’, 700115 Iaşi, RomaniaDepartment of Obstetrics and Gynecology, University of Medicine and Pharmacy ‘Gr. T. Popa’, 700115 Iaşi, RomaniaDepartment of Obstetrics and Gynecology, University of Medicine and Pharmacy ‘Gr. T. Popa’, 700115 Iaşi, Romania<i>Background and Objectives</i>: Although frequent and associated with high mortality and morbidity rate, congenital heart disease (CHD) has a suboptimal prenatal detection rate, with significant variation according to the scanning protocol. The aim of this study was to evaluate the role of the 3-vessels and trachea view (3VT) in detecting CHD, with or without the use of Color Doppler, with an emphasis on major CHD. <i>Materials and Methods</i>: We performed a retrospective study on 1596 unselected pregnant patients presenting at 11–37 weeks of gestation for a routine anomaly scan. We selected all CHD cases, and we analyzed the performance of the 4-chamber (4C) and 3VT view in detecting CHD. <i>Results</i>: A total of 46 fetuses with CHD were identified, yielding a 2.86% overall incidence, and 0.87% for major CHD. Grayscale 4C detected 47.8% of all CHD, going up to 71.7% by adding grayscale 3VT, with no major CHD remaining undetected by combining grayscale 4C and 3VT. <i>Conclusions</i>: Grayscale 4C and 3VT views are effective in detecting major CHD, thus proving their utility even in a low resource setting.https://www.mdpi.com/1648-9144/58/2/2623-vessels and trachea viewcongenital heart diseaseprenatal screening
spellingShingle Roxana Gireadă
Demetra Socolov
Elena Mihălceanu
Roxana Matasariu
Alexandra Ursache
Mona Akad
Iuliana Bujor
Ioana Scripcariu
Radu Florin Popa
Răzvan Socolov
The Additional Role of the 3-Vessels and Trachea View in Screening for Congenital Heart Disease
Medicina
3-vessels and trachea view
congenital heart disease
prenatal screening
title The Additional Role of the 3-Vessels and Trachea View in Screening for Congenital Heart Disease
title_full The Additional Role of the 3-Vessels and Trachea View in Screening for Congenital Heart Disease
title_fullStr The Additional Role of the 3-Vessels and Trachea View in Screening for Congenital Heart Disease
title_full_unstemmed The Additional Role of the 3-Vessels and Trachea View in Screening for Congenital Heart Disease
title_short The Additional Role of the 3-Vessels and Trachea View in Screening for Congenital Heart Disease
title_sort additional role of the 3 vessels and trachea view in screening for congenital heart disease
topic 3-vessels and trachea view
congenital heart disease
prenatal screening
url https://www.mdpi.com/1648-9144/58/2/262
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