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Groups of Abnormal Three-vessel Views and Congenital Heart Diseases



Congenital heart disease

Group 1:

Abnormal vessel size

small ascending aorta and large main pulmonary artery coarctation of aorta

interruption of aortic arch

aortic atresia

hypoplastic left heart syndrome

small main pulmonary artery and large ascending aorta tetralogy of Fallot

pulmonary atresia with VSD

pulmonary atresia with IVS

Ebstein's anomaly

dilated main pulmonary artery pulmonary valve stenosis

pulmonary regurgitation

dilated ascending aorta aortic valve stenosis

aortic regurgitation

dilated superior vena cava interruption of inferior vena cava with azygos continuation

right-side heart failure

Group 2:

abnormal alignment

anterior displacement of aorta with small main pulmonary artery tetralogy of Fallot

double-outlet right ventricle with subpulmonary stenosis

side-by-side relationship with same arterial size double-outlet right ventricle

some complete TGA

side-by-side relationship with small aorta double-outlet right ventricle or some complete TGA with subaortic stenosis

Group 3:

Abnormal arrangement

right anterior aorta complete TGA

some double-outlet right ventricle

left anterior aorta corrected TGA

double-inlet left ventricle

some double-outlet right ventricle

left-sided superior vena cave absence of right superior vena cave

Group 4:

Abnormal vessel number

one artery truncus arteriosus

pulmonary atresia with VSD and absent main pulmonary artery

two superior venae cavae bilateral supenor venae cavae

IVS, intact ventricular septum; TGA, transposition of the great arteries; VSD, ventricular septal defect

From: Yoo S.-J., Lee Y.-H., Kim ES, Ryu HM et al. Three-vessel view of the fetal upper mediastinum: an easy means of detecting abnormalities of the ventricular outflow tracts and great arteries during obstetric screening. Ultrasound Obstet Gynecol 9:173-182, 1997.

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Peter W. Callen, M.D.
Professor of Radiology, Obstetrics, Gynecology and Reproductive Science
University of California Medical Center, San Francisco, California

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