Fetal Echocardiography: The 3VTV and identifying arch abnormalities

[@bdguy99]

Excellent presentation Joe!

[@uhhhlexusgiselle1211]

Extremely helpful video to watch as I make my way into the world of MFM, thank you!

[@allanikol3235]

great presentation and images, i have just started my fetla medicine and ultrasound journey and this has really helped. thanks

[@mayankbansal7997]

very very good presentation with beautiful cases

[@dr.veerendrasharma2304]

The explanation is so well as if explained 1:1 practically Sincere regards

[@bisayaputi]

Thanks so much

[@preetitak8885]

Excellent lecture making things clearer..plz put few more echocardiography videos.

[@hamnush]

thank you so much Joe, it is as clear as crystal. Will definitely promote your video to my fellow.

[@georgesorne5712]

Excellent presentation 🎉

[@snehajagdale3937]

Excellent cases and presentation Sir 👍

[@jep-patsvlog9380]

Thank you for sharing! Very helpful! Well presented! 👍💖

[@shymaaahmed495]

fantastic work thx alot, we wanna know more about the machine and settings to get that beautiful images plz.

[@leonrangel7908]

Hello. I had a fetal echo at 24 weeks. Cardiologist mention baby girl having raa. But never mention any genetic testing. She said she would have a normal live. Just if she had any issues swallowing. I just received my results her summary was this. Arch sidedness difficult to visualize but likely left-sided aortic arch. Plan to re-assess on follow-up study. I’m going back in 4 weeks. My nipt test did not detect digeorge syndrome.

[@EchoKreeger]

@@leonrangel7908 how is the baby now? My apologies for overlooking your message

[@olegkov2000]

Amazing talk. Well done.

[@DuyLe-pr5lv]

Excellent lecture.

[@hanseltsao1679]

Hi Joe, I’m a trainee sonographer towards the end of my training! I found your presentation is very thorough and informative! Thank you for the excellent presentation! To remember the normal 3VT, I created an easy way last night. 🫰🏻making a heart ❤️ with left hand straight wrist. Then the thumb will be the pulmonary a (DA) and the index finger will be the Ao. Then naturally from left to right, 🫰🏻it has the thumb then index, equals DA then Ao. From anterior to posterior( top to bottom), 🫰🏻naturally has pulmonary then Ao. Thumb(Pulmonary) is naturally slightly bigger than the index (Ao). To make a heart, needs the thumb and index touching, which is the top of ‘V’ sign. ❤️also needs the same color, otherwise that’s Pepsi. Do you think it’s a good way to remember it? Again thank you for your wonderful presentation! 🧡🧡🧡

[@EchoKreeger]

That is such a great method! I love it! Thanks for sitting through the video and for your input! Cheers!

[@hanseltsao1679]

@@EchoKreeger May I ask a favor, can I use your 3VT variations schematic diagrams for school assignment? Many thanks!

[@EchoKreeger]

@@hanseltsao1679yes, feel free to! Thanks again for viewing!

[@user-Monir]

volume is normal heart. situs, left/outflow tract, 3 vessel view normal chamber view shows small echogenic foci of the lt/ ventricle. (isolated soft marker fetal profile seen normal.

[@rupalpatel4355]

Hello, awesome presentation! I needed one clarification- about the 3vt mirror image- so the mirror image is normal too? Or is it abnormal as it is on the right of trachea? Please clarify. Thank you

[@EchoKreeger]

A right aortic and ductal arch in combination is considered normal when there is mirror image dextrocardia. However, if there is right aortic arch with a right ductus in levocardia, then it is abnormal, but not a vascular ring.

[@rupalpatel4355]

@@EchoKreeger Thank you so much!!

[@bhavanareddy7333]

Hi, I have my 20 week scan anomaly and right aortic arch is present and in 3vt view there is U configuration around trachea suggestive of right aortic arch with left ductal arch. Doctor asked us to ameniocentesis. Is it abnormal condition?with my mental status not really sure what to ask here

[@EchoKreeger]

Not really associated with aneuploidy or genetic abnormality. There is a slight and rare association with DiGeorge syndrome however. I personally would not recommend amniocentesis.

[@bhavanareddy7333]

Thanks so much for quick response! Baby will not have any issues after birth?

[@EchoKreeger]

@@bhavanareddy7333 It is a vascular ring and may need surgery to correct if baby has symptoms. These symptoms include dysphagia (difficulty swallowing) and/or stridor (noisy breathing due to airway compression).

[@leonrangel7908]

How is you baby doing?

[@madhumitha8074]

@@leonrangel7908how is your baby doing? Was there a vascular ring?

[@vespertillio8225]

Great imaging! It s an Aplio i700 machine? Thank you

[@rupalpatel4355]

Hi, I also want to clarify that sometimes we see azygous vein in 3vt is that normal?

[@EchoKreeger]

Yes, this is normal as the azygous vein normally will enter the posterior aspect of the SVC in the 3VTV view. Thank you for viewing the presentation.

[@rupalpatel4355]

@@EchoKreeger Thank you!

[@sonubatham3756]

Sir which machine you are using, really nice images

[@EchoKreeger]

Most of the images in this view are from the Canon Aplio 500 machine and some are from the Hitachi Lisendo. Thanks for watching.!

[@madhumitha8074]

Hi, I am 20 weeks pregnant and during my fetal echo they said that the baby has a right aortic arch and left ductal. Is it possible to identify a vascular ring during pregnancy itself ?

[@EchoKreeger]

@@madhumitha8074 thank you for your question. By definition, a right aortic arch with a left ductus arteriosus is considered vascular ring. The presence of a vessel on either side of the trachea, even though the ductus will become a ligament, is a ring. However, the baby may not be symptomatic post natally and it is recommended that the baby see a pediatric cardiologist to determine whether and if so, when an intervention would be needed. All the best.

[@madhumitha8074]

@@EchoKreegerthank you so much for the explanation. It really helps

[@moaydabdo439]

جزاك الله خير الجزاء

[@EchoKreeger]

@@moaydabdo439 ويباركك بكل خير في حياتك، الله أكبر!

[@drrajabi1666]

Thank you so much👌

[@mironamirona983]

Thank you

[@aronlelenora9572]

❤❤❤❤