Related Experiment Video

Updated: May 1, 2026

Fetal Mouse Cardiovascular Imaging Using a High-frequency Ultrasound 30/45MHZ System
07:34

Fetal Mouse Cardiovascular Imaging Using a High-frequency Ultrasound 30/45MHZ System

Published on: May 5, 2018

11.1K

Difficult prenatal diagnosis: fetal coarctation

A Buyens1, W Gyselaers1, A Coumans2

  • 1Department of Obstetrics and Gynaecology, ZOL Hospitals Campus St Jan, Genk, Belgium.

Facts, Views & Vision in Obgyn
|April 23, 2014
PubMed

Insights

Diagnosing fetal coarctation prenatally remains difficult. Ventricular disproportion is a key indicator, but newer imaging techniques and measurements show promise for improving accuracy in fetal cardiac anomaly detection.

Area of Science:

  • Fetal Cardiology
  • Medical Imaging
  • Congenital Heart Defects

Background:

  • Prenatal diagnosis of coarctation is challenging, often relying on ventricular disproportion.
  • Current methods have moderate sensitivity and high false positive rates.
  • Accurate prenatal diagnosis is crucial for optimizing delivery and reducing infant complications.

Purpose of the Study:

  • To review and summarize methods for improving prenatal diagnosis of fetal coarctation.
  • To assess the efficacy of various measurements and imaging techniques.

Main Methods:

  • Systematic review of articles published between 2000 and 2011.
  • Literature search of PubMed and reference lists.
  • Analysis of diagnostic measurements and advanced imaging techniques.

Main Results:

  • Key measurements include isthmus diameter, ductal diameter, and their ratio.
  • Z-scores, shelf presence, and isthmal flow disturbance are important indicators.
  • 3D/4D imaging with STIC shows potential for enhanced diagnosis.

Conclusions:

  • Despite advancements, prenatal diagnosis of coarctation remains a challenge for ultrasound specialists.
  • Investigating novel measurements and imaging modalities is ongoing.
  • Improved prenatal detection can lead to better perinatal care for coarctation.

Keywords:
DopplerPrenatal diagnosiscoarctationdiscrepancy great vesselsflow disturbanceisthmal z-scoresisthmus/ductal ratioshelfventricular disproportion

More Related Videos

A Pipeline to Characterize Structural Heart Defects in the Fetal Mouse08:19

A Pipeline to Characterize Structural Heart Defects in the Fetal Mouse

Published on: December 16, 2022

2.3K
Fetal Echocardiography and Pulsed-wave Doppler Ultrasound in a Rabbit Model of Intrauterine Growth Restriction14:19

Fetal Echocardiography and Pulsed-wave Doppler Ultrasound in a Rabbit Model of Intrauterine Growth Restriction

Published on: June 29, 2013

27.4K

Related Concept Videos

Fetal Circulation01:14

Fetal Circulation

Fetal circulation is a unique system that facilitates the exchange of gases, nutrients, and waste products between the developing fetus and the mother. This intricate process takes place through a special organ called the placenta.
Two umbilical arteries transport blood from the fetus to the placenta. At the placenta, the blood absorbs oxygen and nutrients while simultaneously eliminating waste products. This oxygen-enriched and nutrient-rich blood then returns to the fetus through one...
5.0K
Mitral Stenosis II: Clinical features and Diagnostic Tests01:23

Mitral Stenosis II: Clinical features and Diagnostic Tests

Mitral stenosis is a heart condition in which the mitral valve, which allows blood to flow from the left atrium to the left ventricle, becomes narrowed or stenotic. This narrowing hinders blood flow and leads to clinical symptoms requiring specific medical evaluations and management strategies. The following overview outlines the clinical symptoms, assessments, diagnostic findings, prevention methods, and treatments for mitral stenosis.Clinical ManifestationsDyspnea (shortness of breath): This...
557
Aortic Regurgitation II: Clinical Features and Diagnostic Tests01:22

Aortic Regurgitation II: Clinical Features and Diagnostic Tests

Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...
1.2K
Aneurysm I: Introduction01:30

Aneurysm I: Introduction

An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
650
Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

Aneurysm II: Clinical Manifestations and Diagnostic Studies

Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
589
Abdominal Aorta01:25

Abdominal Aorta

Once the aorta traverses the diaphragmatic plane at the aortic hiatus, it is known as the abdominal aorta. This anatomical structure is positioned leftward of the spinal column, encased within a cocoon of adipose tissue behind the peritoneal cavity. It terminates at the L4 vertebra, where it splits into the common iliac arteries. Prior to this bifurcation, the abdominal aorta gives rise to several vital branches.
The celiac trunk, a singular artery, divides into the left gastric artery, which...
3.5K