Fetal Echocardiography: The 3VTV and identifying arch abnormalities

This is a fetal echocardiography presentation that covers proper imaging of the fetal 3-vessel-tracheal view (3VTV) and the imaging techniques used to diagnose arch abnormalities including abnormal branching patterns.

[@dr.veerendrasharma2304]

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

[@bisayaputi]

Thanks so much

[@bdguy99]

Excellent presentation Joe!

[@allanikol3235]

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

[@uhhhlexusgiselle1211]

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

[@georgesorne5712]

Excellent presentation 🎉

[@mayankbansal7997]

very very good presentation with beautiful cases

[@olegkov2000]

Amazing talk. Well done.

[@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.

[@jep-patsvlog9380]

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

[@snehajagdale3937]

Excellent cases and presentation Sir 👍

[@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.

[@DuyLe-pr5lv]

Excellent lecture.

[@drrajabi1666]

Thank you so much👌

[@mironamirona983]

Thank you

[@shymaaahmed495]

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

[@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!

[@aronlelenora9572]

❤❤❤❤

[@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!!

[@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!

[@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?

[@vespertillio8225]

Great imaging! It s an Aplio i700 machine? 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.!