Fetal Cardiology Simplified: A Practical Manual Author Gurleen Sharland. TFM Publishing Ltd., 2013 ISBN: 978-1903378557
Paperback, 400 pages, £60.00



  Ultrasound scanning in the second trimester of pregnancy to detect fetal structural abnormality has been undertaken since the 1980s. Detection of fetal cardiac abnormality has become a part and parcel of fetal anomaly screening for a similar duration. The NHS Fetal Anomaly Screening Programme states that the minimum standard of detection rate of fetal cardiac abnormality should be around 50%. All obstetric sonographers, fetal medicine trainees and fetal medicine specialists should have a better understanding of fetal cardiac abnormalities to achieve this standard.

In general, this book is very comprehensive. It can act as a reference guide for all clinicians involved in fetal cardiac scans. The author takes a systematic approach to different cardiac abnormalities that is easy to understand. The book started with the risk factors for fetal cardiac abnormalities followed by normal fetal heart. There are plenty of images of normal cardiac findings with text in bullet-points which facilitate the reader's understanding of cardiac abnormalities.

Abnormalities of four chamber view are the most common defect detected by the sonographer or fetal medicine specialist during an anomaly scan. In this book, the anomalies of four chamber views are described well with plenty of good quality scan images to clarify the abnormalities. The descriptions are very useful for the novice sonographer as well as fetal medicine specialists. Management options are well-written which will help a fetal medicine specialist with initial counselling before referring to a fetal cardiology centre.

There are three chapters on great artery abnormalities including a chapter on aortic arch abnormality. All the great artery anomalies are described in a very simple and logical way with multiple clearly labelled illustrations.

Cardiomyopathies and rhythm abnormalities are also included in the book with the information of associated lesions and outcome from fetal life.

Chapter 15 is the most important chapter of the book where all the abnormalities are briefly described with the expected findings. This can be used as a quick reference following suspicion of any cardiac abnormality during an anomaly scan.

This book is highly recommended to clinicians who may come across any aspect of fetal cardiac scan. This is also recommended for postgraduate trainees undertaking the Advanced Training Skills Module (ATSM) in fetal medicine or subspecialty trainee of feto-maternal medicine