6. Screening for Congenital Heart Disease

  1. John T. Queenan MD2,
  2. Catherine Y. Spong MD3 and
  3. Charles J. Lockwood MD4
  1. Lynn L. Simpson MD

Published Online: 4 JAN 2012

DOI: 10.1002/9781119963783.ch6

Queenan's Management of High-Risk Pregnancy: An Evidence-Based Approach, Sixth Edition

Queenan's Management of High-Risk Pregnancy: An Evidence-Based Approach, Sixth Edition

How to Cite

Simpson, L. L. (2012) Screening for Congenital Heart Disease, in Queenan's Management of High-Risk Pregnancy: An Evidence-Based Approach, Sixth Edition (eds J. T. Queenan, C. Y. Spong and C. J. Lockwood), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781119963783.ch6

Editor Information

  1. 2

    Department of Obstetrics and Gynecology, Georgetown University School of Medicine, Washington, DC, USA

  2. 3

    Bethesda, MD, USA

  3. 4

    Department of Obstetrics, Gynecology and Reproductive Sciences, Yale University School of Medicine, New Haven, CT, USA

Author Information

  1. Department of Obstetrics and Gynecology, Columbia University Medical Center, New York, NY, USA

Publication History

  1. Published Online: 4 JAN 2012
  2. Published Print: 24 FEB 2012

ISBN Information

Print ISBN: 9780470655764

Online ISBN: 9781119963783

SEARCH

Keywords:

  • screening for congenital heart disease;
  • congenital heart disease, warranting prenatal screening;
  • obstetric ultrasound and fetal anatomy;
  • prenatal diagnosis of heart defects, in counseling patients;
  • fetal echocardiography;
  • transabdominal approach, for fetal cardiac screening;
  • limitation of cardiac screening with four-chamber view;
  • color flow mapping of fetal heart;
  • prenatal detection of cardiac anomalies, with ventricular outflow tracts;
  • cardiac screening performance, well below expectations

Summary

Obstetric ultrasound completed after the first trimester requires an assessment of fetal anatomy and both the American Institute of Ultrasound in Medicine and the American College of Obstetricians and Gynecologists recommend that the four-chamber view of the fetal heart and the ventricular outflow tracts be routinely evaluated on all patients. As outlined in a joint guideline from the American Institute of Ultrasound in Medicine, the American College of Obstetricians and Gynecologists, the Society for Maternal-Fetal Medicine, and the American College of Radiology, fetal echocardiography with multiple cardiac views and specialized assessments is indicated for patients at high risk for congenital heart disease.