Prenatal Detection of Cardiac Anomalies in Fetuses with Single Umbilical Artery: Diagnostic Accuracy Comparison of Maternal-Fetal-Medicine and Pediatric Cardiologist

Table 4

Cardiac abnormalities detected by MFM physician versus pediatric cardiologist performed fetal echocardiogram for Group D.

Case	MFM performed comprehensive fetal ultrasound study	Cardiac diagnoses via pediatric fetal echocardiogram	Additional abnormal cardiac findings on pediatric fetal and neonatal echocardiogram
1	VSD, double-outlet right ventricle	VSD, double-outlet right ventricle	Subaortic stenosis
2	VSD with echogenic intracardiac focus	Echogenic intracardiac focus only
3	Tetralogy of Fallot with pulmonary artery hypoplasia	Tetralogy of Fallot with pulmonary artery hypoplasia
4	VSD, pentalogy of Cantrell, absent ductus venosus	VSD, pentalogy of Cantrell, absent ductus venosus	Complete common atrio-ventricular canal defect
5	VSD	VSD	Mild left heart hypoplasia
6	VSD, hypoplastic aortic arch, and aortic stenosis	VSD, hypoplastic aortic arch, and aortic stenosis
7	Mildly hypoplastic right ventricle w/small pericardial effusion	Unremarkable study
8	Partial atrioventricular septal defect	Partial atrioventricular septal defect	Mitral valve regurgitation
9	Mildly hypoplastic left ventricle w/small VSD	Unremarkable study
10	Hypoplastic left atrium w/mitral stenosis or atresia and VSD, suspected segmental stenosis in the inferior vena cava	Hypoplastic left atrium w/mitral stenosis, VSD	Absent renal to hepatic inferior vena cava segment with azygous continuation
11	Hypoplastic left heart with VSD	Hypoplastic left heart w/VSD
12	VSD narrow and elongated LVOT	VSD and elongated LVOT	Atrioventricular septal defect
13	Mild pulmonic insufficiency w/mild pulmonary artery dilation	Unremarkable study
14	Hypoplastic left ventricle	Hypoplastic left ventricle	Small VSD and coarctation of the aorta
15	Overriding aorta with VSD	Overriding aorta with VSD
16	Cardiomegaly	Unremarkable study
17	Unremarkable study	Biventricular hypertrophy, small pericardial effusion
18	Atrioventricular canal defect	Atrio-ventricular canal defect
19	Right sided cardiomegaly	Unremarkable study
20	Endocardial cushion defect, aortic arch hypoplasia, and aortic stenosis	Endocardial cushion defect, aortic arch hypoplasia, and aortic stenosis
21	Hypoplastic left heart	Hypoplastic left heart
22	Cardiac fibroelastosis with severe biventricular hypertrophy and bradycardia	Cardiac fibroelastosis w/severe biventricular hypertrophy and bradycardia
23	Atrioventricular septal defect	Unremarkable study
24	Hypoplastic left ventricle with double right ventricle outlet	Hypoplastic left ventricle with double right outlet ventricle outlet
25	Biventricular hypertrophy	Biventricular hypertrophy
26	Mild left ventricular hypoplasia	Mild left ventricular hypoplasia
27	VSD, pulmonary stenosis/atresia	VSD, pulmonary stenosis/atresia
28	Dextroversion of the heart w/situs solitus	Dextroversion of the heart w/situs solitus
29	Unbalanced AV canal, hypoplastic left heart with outflow tract anomalies (dilated pulmonary artery, nonvisualized aortic tract, truncus not excluded)	Unbalanced AV canal with abnormal outflow tract versus hypoplastic left heart with outflow tract anomalies (dilated pulmonary artery, nonvisualized aortic tract, truncus not excluded), aortic stenosis, hypoplastic ascending aortic arch
30	Narrow aortic outflow	Unremarkable study
31	VSD	VSD	Mild right atrium dilation
32	Pericardial effusion	Pericardial effusion
33	Single right ventricle with dextrocardia	Single right ventricle with dextrocardia