Abstract

Fetal echocardiography is the method of choice to visualize the fetal congenital cardiovascular anomalies. However, there are some disadvantages. Fetal cardiac magnetic resonance imaging (MRI) has the potential to complement ultrasound in detecting congenital cardiovascular anomalies. This pictorial review draws on our experience about fetal cardiac MRI; it describes the four-chamber view on fetal cardiac MRI and important clues on an abnormal four-chamber view to the diagnosis of fetal congenital cardiovascular anomalies.

Highlights

  • Abnormalities of the cardiovascular system are the most common congenital diseases in the fetus and the first cause of infant mortality (Johnson et al 2014)

  • Fetal cardiovascular magnetic resonance (CMR) imaging has the potential to complement ultrasound in detecting cardiovascular malformations and extracardiac anomalies (Donofrio et al 2014; Wielandner et al 2013; Manganaro et al 2014; Dong et al 2013)

  • The four-chamber view of fetal CMR assesses cardiovascular anomalies by abnormal position, size, septum integrity, tumor and other malformations of the fetal heart. This pictorial review illustrates fetal cardiac malposition and congenital cardiovascular anomalies seen on the four-chamber view CMR imaging

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Summary

Introduction

Abnormalities of the cardiovascular system are the most common congenital diseases in the fetus and the first cause of infant mortality (Johnson et al 2014). Fetal CMR imaging has the potential to complement ultrasound in detecting cardiovascular malformations and extracardiac anomalies (Donofrio et al 2014; Wielandner et al 2013; Manganaro et al 2014; Dong et al 2013). The four-chamber view of fetal CMR assesses cardiovascular anomalies by abnormal position, size, septum integrity, tumor and other malformations of the fetal heart.

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Conclusion

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