cardiac outflow tract table
DESCRIPTION
Fetal cardiac scanning has never been made easier. Download this interactive table and "Ctrl- right click" to open the videos.Use this interactive table to view diagrams and videos of the ISUOG 5 scanning levels with diagrams for all of the outflow tract abnormalities. Then scroll down to view information of the definition, incidence, associated anomalies, antenatal management, immediate postpartum management, surgery and outcome.This table address Tetralogy of Fallot, Double Outlet Right Ventricle, Transposition of the Great Arteries, Double Discordance (Congenitally Correct TGA) and Common Arterial Trunk (Truncus Arteriosus).TRANSCRIPT
Normal
FETAL CARDIAC OUTFLOW TRACT ANOMALIES CHARTBy Cathy Cluver, Samuel Menaham, Katie Cheng and Simon Meagher (Mercy Hospital for Women, Melbourne University; Stellenbosch University; Monash University; Monash Ultrasound for Women, Melbourne)
NormalTetralogy of FallotDouble outlet right ventricleTransposition of the great arteries/Ventricular arterial discordanceDouble discordance(Congenitally corrected TGA)Common arterial trunk (Truncus arteriosus)
Simple TGAComplex TGA
4CV
http://youtu.be/2n3v3GGRGN0http://youtu.be/nlSeavQGXn4
http://youtu.be/E6tUFc7WNdkhttp://youtu.be/8QQV74NViY0
http://youtu.be/3c0SVo6-nbUhttp://youtu.be/pgDwbh9_gBE
http://youtu.be/ZJXQTf7oXyshttp://youtu.be/zr8WeM8XjDYhttp://youtu.be/GBDk49CtMLM http://youtu.be/tY82Pz63ms0http://youtu.be/UpvLQ91HOFghttp://youtu.be/K9mLeTuw_mg
http://youtu.be/r3R_ydAwmmQ
LOFT/5CV
http://youtu.be/zSiNqu_qd44http://youtu.be/34VBumc5guUhttp://youtu.be/2f3WlGQ2-EIhttp://youtu.be/yDkUoe2x3_oDORV Fallot subaortic VSD +/-PS with normally related vesselsDORV uncommitted VSD with normally related vesselsDORV uncommitted VSD with malposed vesselsDORV TGA subpulmonary VSD with malposed vesselshttp://youtu.be/h_tXwZQjxwUhttp:/youtu.be/diSBpe2rGkc
http://youtu.be/oHoUf4br16o
http://youtu.be/k9aY0x9S2_ohttp://youtu.be/26ks-pRAr8khttp://youtu.be/l2o7Y4O4CKshttp://youtu.be/nEF3lq6_UIY
http://youtu.be/3SRl9j2KoEQhttp://youtu.be/QRpMh3LMXggNo videohttp://youtu.be/J1yRWh7dtlY
ROFT/ 3vv
http://youtu.be/UUE0zmXFcBohttp://youtu.be/6NGWSycZjhkMain subtypes: (VSD/PA/MAPCAs-see rare cardiac table)http://youtu.be/7N5NBVKuW4M
No videohttp://youtu.be/G4MDZs4XCUYhttp://youtu.be/E5smuE0N3dkhttp://youtu.be/IkokBFyEE_U
http://youtu.be/Ksu7ACooWYUhttp://youtu.be/6KnveXnKM7M
Pulmonary stenosis (75% cases)
http://youtu.be/s2V_wrY-rLwhttp://youtu.be/ePb5f0EIXlEPulmonary atresia (20%
http://youtu.be/9kwzLLPoo00
Absent (dysplastic/ring) pulmonary valve syndrome (5% cases)
http://youtu.be/Kgs9s1LLHxghttp://youtu.be/-Mq3Wy3HPeQ
Transverse arches/ 3vT
http://youtu.be/9DmGCiNqbG0
http://youtu.be/PctXMePw9G8http://youtu.be/jpDwJ9J8tEIhttp://youtu.be/uQdvwvqpfJc
http://youtu.be/tefgLsRfioEhttp://youtu.be/Aqm_S2OBG3Qhttp://youtu.be/JQtjprj8MQ0
No videohttp://youtu.be/CpPT4pNXlUwhttp://youtu.be/orFIbEJGni4http://youtu.be/Q2wP_GiWoZIhttp://youtu.be/SmxJ7qvTde0http://youtu.be/6KnveXnKM7M
Overview videoshttp://youtu.be/KfNZHFKLBOYhttp://youtu.be/86KlIFSa1Jkhttp://youtu.be/e02Q-RvEVOohttp://youtu.be/8m937otqgFUhttp://youtu.be/GYFnQ48vmeY
http://youtu.be/ZZIiOD8-VYghttp://youtu.be/bRkoGUVNWcYhttp://youtu.be/l6CXACb6nvshttp://youtu.be/JGVcmB7DS2k
No videohttp://youtu.be/Zgmy8jNfCaAhttp://youtu.be/C_KCaUJiL0Uhttp://youtu.be/R4rCiu414rgAdvanced clips:http://youtu.be/6aXed5gHLkMhttp://youtu.be/LdSjxJOfFxUhttp://youtu.be/xgeLd6znxM0Advanced clips:http://youtu.be/kAQLxb45zb0http://youtu.be/lDga1T6kqyEhttp://youtu.be/fcDZ0NkyO2Qhttp://youtu.be/3hJexKoNX04
DefinitionTetralogy: 1. Malaligned VSD in perimembranous area2. Aorta overrides interventricular septum3. Pulmonary artery usually smaller than aorta (degree of pulmonary stenosis usually increases during pregnancy)4. +/- right ventricular hypertrophy and/or dilatationDORVBoth great arteries arise predominantly from RVSubaortic VSD: PA exclusively from RV>50% aorta from RVGreat artery connections are normalUncommitted VSD: Both great arteries arise from RVVSD remote from either vesselVessels may be malposedSubpulmonary VSD (TGA type/ Taussig Bing): aorta exclusively from RV>50% pulmonary artery from RVVessels are malposedTGALV gives rise to PARV gives rise to aorta
Subtypes:Simple: Interventricular septum intact No other cardiac abnormality Commonly missed cardiac disease Aorta may be anterior and on right or side by side to the pulmonary arteryComplex: TGA with other cardiac anomaliesVessels may be malposedDouble discordanceAtrial ventricular and ventricular arterial discordance (RA connects to LV which connects to PA, LA connects to RV which connects to Ao)Synonymes: ventricular inversion, congenitally corrected TGACommon arterial trunkSingle common artery from heart which supplies coronary, pulmonary and systemic circulationUsually no duct.Rare cases may have an interrupted aortic arch with a duct supplying head and neck vessels
Incidence+/- 4/10 000 live births7-10 % of congenital heart disease1 to 1.5% of congenital heart disease3% of congenital heart diseaseRare (