Skip Navigation LinksHome > March 2012 - Volume 55 - Issue 1 > Fetal Heart: A 4-chamber View Is Not Enough
Clinical Obstetrics & Gynecology:
doi: 10.1097/GRF.0b013e3182446df0
Imaging in Obstetrics: State of the Art

Fetal Heart: A 4-chamber View Is Not Enough

GONÇALVES, LUÍS F. MD; BRONSTEEN, RICHARD MD; LEE, WESLEY MD

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Abstract

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.

© 2012 Lippincott Williams & Wilkins, Inc.

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