TY - JOUR
T1 - Antenatal diagnosis of single umbilical artery
T2 - Is fetal echocardiography warranted?
AU - Gossett, Dana R.
AU - Lantz, Michael E.
AU - Chisholm, Christian A.
N1 - Copyright:
Copyright 2018 Elsevier B.V., All rights reserved.
PY - 2002/11/1
Y1 - 2002/11/1
N2 - OBJECTIVE: To estimate the utility of fetal echocardiography in the evaluation of the fetus with isolated single umbilical artery. METHODS: A retrospective analysis of fetuses diagnosed with single umbilical artery by sonography was conducted between January 1995 and June 2000 (n = 127). In the 103 patients who had fetal echocardiograms, we examined the frequency of abnormal echocardiographic findings when the initial sonogram demonstrated a normal four-chamber view and cardiac outflow tracts. RESULTS: Approximately 1% of fetal anomaly screens had a diagnosis of single umbilical artery. Of these, 72% were isolated (no other anomalies identified). No fetus in this group had an abnormal echocardiogram. There was one postnatal diagnosis of cardiac disease in this group; it was not predicted by either the four-chamber and outflow tract views or the echocardiogram. Among the group with other anomalies, the four-chamber view predicted every abnormal echocardiogram but one. CONCLUSION: Fetal echocardiography does not appear to add further diagnostic information to the antenatal evaluation of the fetus with isolated single umbilical artery when normal four-chamber and outflow tract views of the heart have already been obtained.
AB - OBJECTIVE: To estimate the utility of fetal echocardiography in the evaluation of the fetus with isolated single umbilical artery. METHODS: A retrospective analysis of fetuses diagnosed with single umbilical artery by sonography was conducted between January 1995 and June 2000 (n = 127). In the 103 patients who had fetal echocardiograms, we examined the frequency of abnormal echocardiographic findings when the initial sonogram demonstrated a normal four-chamber view and cardiac outflow tracts. RESULTS: Approximately 1% of fetal anomaly screens had a diagnosis of single umbilical artery. Of these, 72% were isolated (no other anomalies identified). No fetus in this group had an abnormal echocardiogram. There was one postnatal diagnosis of cardiac disease in this group; it was not predicted by either the four-chamber and outflow tract views or the echocardiogram. Among the group with other anomalies, the four-chamber view predicted every abnormal echocardiogram but one. CONCLUSION: Fetal echocardiography does not appear to add further diagnostic information to the antenatal evaluation of the fetus with isolated single umbilical artery when normal four-chamber and outflow tract views of the heart have already been obtained.
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U2 - 10.1016/S0029-7844(02)02148-8
DO - 10.1016/S0029-7844(02)02148-8
M3 - Article
C2 - 12423851
AN - SCOPUS:0036856033
SN - 0029-7844
VL - 100
SP - 903
EP - 908
JO - Obstetrics and gynecology
JF - Obstetrics and gynecology
IS - 5
ER -