The Additional Role of the 3-Vessels and Trachea View in Screening for Congenital Heart Disease.

Roxana Gireadă,Radu Florin Popa,Elena Mihălceanu,Răzvan Socolov,Iuliana Bujor,Mona Akad,Roxana Matasariu,Demetra Socolov,Ioana Scripcariu,Alexandra Ursache

doi:10.3390/medicina58020262

Roxana Gireadă, Radu Florin Popa + Show 8 more

Open Access

https://doi.org/10.3390/medicina58020262

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Abstract

Background and Objectives: Although frequent and associated with high mortality and morbidity rate, congenital heart disease (CHD) has a suboptimal prenatal detection rate, with significant variation according to the scanning protocol. The aim of this study was to evaluate the role of the 3-vessels and trachea view (3VT) in detecting CHD, with or without the use of Color Doppler, with an emphasis on major CHD. Materials and Methods: We performed a retrospective study on 1596 unselected pregnant patients presenting at 11–37 weeks of gestation for a routine anomaly scan. We selected all CHD cases, and we analyzed the performance of the 4-chamber (4C) and 3VT view in detecting CHD. Results: A total of 46 fetuses with CHD were identified, yielding a 2.86% overall incidence, and 0.87% for major CHD. Grayscale 4C detected 47.8% of all CHD, going up to 71.7% by adding grayscale 3VT, with no major CHD remaining undetected by combining grayscale 4C and 3VT. Conclusions: Grayscale 4C and 3VT views are effective in detecting major CHD, thus proving their utility even in a low resource setting.

Highlights

Congenital heart disease (CHD) affects 0.8% of the population, while the incidence of severe congenital heart disease (CHD) goes up to 0.2% [1]
We evaluated the performance of the 4C and 3-vessels and trachea view (3VT) view ± Color Doppler in detecting all CHD and major CHD, respectively
By analyzing the performance of the 4C and 3VT with and without Color Doppler, (Table 3), we can see that by using only grayscale 4C we detected 47.8% of CHD, and by adding grayscale 3VT we achieved a 71.7% detection rate

Summary

Introduction

Congenital heart disease (CHD) affects 0.8% of the population, while the incidence of severe CHD goes up to 0.2% [1]. Outflow tract inclusion increased prenatal CHD detection rate, this remains suboptimal and varies considerably according to the number of cardiac views [6]. Frequent and associated with high mortality and morbidity rate, congenital heart disease (CHD) has a suboptimal prenatal detection rate, with significant variation according to the scanning protocol. The aim of this study was to evaluate the role of the 3-vessels and trachea view (3VT) in detecting CHD, with or without the use of Color Doppler, with an emphasis on major CHD. Grayscale 4C detected 47.8% of all CHD, going up to 71.7% by adding grayscale 3VT, with no major CHD remaining undetected by combining grayscale 4C and and Trachea View in Screening for Congenital Heart Disease.

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