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Table 1 Indications of color Doppler findings in fetal cardiac screening

From: Identification of fetal cardiac anatomy and hemodynamics: a novel enhanced screening protocol

Abnormal blood flow patterns

Indications

Suggest vavular structural anomalies

 

 High velocity blood flow detected at atrioventricular/semilunar valves

Valvular stenosis

 Severe TR but with low velocity

Tricuspid valve dysplasia or Ebstein’s anomaly

 Non-restrictive pulmonary regurgitation, combined with dilated MPA, LPA, and RPA

Absent pulmonary valve syndrome

Suggest an indirect sign

 

 MR with high velocity

Aortic valve stenosis/atresia

 TR with high velocity

Pulmonary valve stenosis/atresia; premature closure of the ductus

 Antegrade flow in the DA and retrograde flow in the aorta at 3VT

Aortic valve atresia or COA

 Antegrade flow in the aorta and retrograde flow in the DA at 3VT

Pulmonary valve stenosis/atresia

  1. 3VT three-vessel-trachea view, COA coarctation of aorta, DA ductus arteriosus, MR mitral regurgitation, LPA left pulmonary artery, PA pulmonary artery, PR pulmonary regurgitation, RPA right pulmonary artery, TR tricuspid regurgitation