Fetal Heart: A 4-chamber View Is Not EnoughGONÇALVES, LUÍS F. MD; BRONSTEEN, RICHARD MD; LEE, WESLEY MDClinical Obstetrics and Gynecology: March 2012 - Volume 55 - Issue 1 - p 266–280 doi: 10.1097/GRF.0b013e3182446df0 Imaging in Obstetrics: State of the Art Abstract Author Information The majority of children born with congenital heart disease have no identifiable risk factors and, therefore, prenatal diagnosis relies on routine ultrasonographic screening. First proposed in 1985, the 4-chamber view is a component of the basic fetal cardiac examination. However, many life-threatening conditions (eg, transposition of the great arteries) can present with a normal 4-chamber view and may only be detected by systematic evaluation of the outflow tracts. Although this is a technically challenging skill, its mastery is a worthwhile goal of ultrasonography training, as it likely to improve the lives of at least some of the children affected by the most severe forms of congenital heart disease. Oakland University William Beaumont School of Medicine, Division of Fetal Imaging, Royal Oak, Michigan The authors declare that they have nothing to disclose. Correspondence: Luís F. Gonçalves, MD, Oakland University William Beaumont School of Medicine, Division of Fetal Imaging, 3601 West 13 Mile Road, Royal Oak, MI 48073. E-mail: email@example.com. © 2012 Lippincott Williams & Wilkins, Inc.