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[Prenatal three-vessel and tracheal view: normal features].

E Quarello1, J-P Bault2, R Chaoui3

  • 1Unité d'échographies obstétricales et de diagnostic anténatal, hôpital Saint-Joseph, 26, boulevard de Louvain, 13285 Marseille cedex 08, France; Institut de médecine de la reproduction, 6, rue Rocca, 13008 Marseille, France.

Gynecologie, Obstetrique & Fertilite
|March 4, 2014
PubMed
Summary

Screening for congenital heart disease (CHD) in low-risk populations requires simple methods. The three-vessel and tracheal view in prenatal echocardiography offers an effective approach for assessing fetal anatomy.

Keywords:
Congenital heart defectCoupe des trois vaisseaux et de la trachéeDépistageEchocardiographyGreat vesselsGros vaisseauxMalformation cardiaque congénitaleScreeningThree-vessel and tracheal viewÉchocardiographie

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Area of Science:

  • Medical imaging
  • Fetal medicine
  • Cardiology

Background:

  • Congenital heart disease (CHD) screening often targets low-risk populations, necessitating accessible and reliable methods.
  • Current prenatal echocardiography primarily analyzes four chambers and great vessels, with great vessel assessment being complex and requiring multiple views.
  • Standardized screening methods for fetal CHD are crucial for early detection and management.

Purpose of the Study:

  • To review the features of the three-vessel and tracheal view for fetal echocardiography.
  • To highlight its utility in assessing fetal thoracic structures for congenital heart disease screening.
  • To emphasize the role of color Doppler in optimizing this view.

Main Methods:

  • Review of anatomical features of the three-vessel and tracheal view.
  • Analysis of its application in a single axial section of the fetal thorax.
  • Incorporation of color Doppler mode to enhance visualization.

Main Results:

  • The three-vessel and tracheal view allows simultaneous assessment of the main pulmonary artery, its branches, ductus arteriosus, aortic arches, superior vena cava, and trachea.
  • This view provides an axial section of the fetal thorax, simplifying complex great vessel assessment.
  • Color Doppler enhances the visualization and diagnostic information obtained from this view.

Conclusions:

  • The three-vessel and tracheal view is a reproducible and easy-to-use method for fetal CHD screening.
  • It offers a comprehensive assessment of key thoracic structures in a single view.
  • This technique, particularly with color Doppler, improves the efficiency and accuracy of prenatal screening for congenital heart disease.