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Fetal Vascular Rings and Pulmonary Slings: Strategies for Two- and Three-Dimensional Echocardiographic Diagnosis.

Authors
  • Wang, Yu1
  • Zhang, Ying2
  • 1 Department of Ultrasound, Shengjing Hospital of China Medical University, Shenyang, China. , (China)
  • 2 Department of Ultrasound, Shengjing Hospital of China Medical University, Shenyang, China. Electronic address: [email protected] , (China)
Type
Published Article
Journal
Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography
Publication Date
Apr 01, 2021
Volume
34
Issue
4
Pages
336–351
Identifiers
DOI: 10.1016/j.echo.2020.10.013
PMID: 33166631
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Fetal aortic arch anomalies and pulmonary slings can be difficult to accurately diagnose but have important clinical implications related to vascular rings, congenital heart disease, and chromosomal anomalies. In this article, the authors briefly review the embryology and development of the fetal arch to facilitate understanding of its diverse variants. Two-dimensional echocardiographic characteristics are summarized for each type of these malformations to propose a strategy for fetal diagnosis. The added benefits of three-dimensional echocardiography with spatiotemporal image correlation are also shown. Finally, the authors propose a strategy for volume acquisition and postanalysis to spur postanalysis clinical use of this technology. Copyright © 2020 American Society of Echocardiography. Published by Elsevier Inc. All rights reserved.

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