Ch's 6-10 Flashcards

1
Q

situs solitus

A

refers to the normal arrangement of vessels and organs within the body

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2
Q

Apical 4 CHRT

A

Allows optimal visualization of the apex of the hrt, the ventricles, the atrioventricular valves, and longitudinal atrial and ventricular dimensions

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3
Q

Basal 4 CHRT

A

Allows adequate visualization fo the atrial and the atrioventricular valves

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4
Q

Lateral (axial) view

A

Allows adequate visualization of the atrial and ventricular septa, atrial and ventricular walls, ventricular contractility, and septal thickness.

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5
Q

The width of the heart, at the level of the atrioventricular valves corresponds to…..

A

approximately the gestational age in weeks

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6
Q

situs inversus

A

refers to a mirror-image arrangement of organs and vessels to situs solitus. Situs inversus is associated with a slight increase in the incidence of complex congenial heart disease.

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7
Q

Situs ambiguous (heterotaxy)

A

refers to visceral malpositions and malformations different from situs solitus or inversus.

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8
Q

Dextrocardia

A

a term used to describe a heart that is located in the rt chest

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9
Q

mesocardia

A

refers to a central position of the heart in the chest

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10
Q

levocardia

A

refers to a lt sided position of the heart

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11
Q

dextropostion

A

a form of dextrocardia, describes a heart that is located in the rt chest with the apex pointing medially or to the lt.

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12
Q

dextroversion

A

describes a heart that is located in the rt chest with the cardiac axis pointing to the rt side

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13
Q

mesocardia

A

indicates an atypical location of the heart with the apex pointing toward the midline of the chest.

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14
Q

levocardia

A

a term denoting the normal position of the heart, is often used when visceral situs abnormalities are present.

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15
Q

levoposition

A

refers to the condition where the heart is displaced farther toward the lt chest, usually in association with a space occupying lession.

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16
Q

what is the fetal rib corresponding to the 4 chrt view?

A

the fourth thoracic rib

17
Q

the width of the hear at the level of the atrioventricular valves…..

A

corresponds approximately to GA in weeks.

18
Q

How can the fetal cardiac dimensions be easily assessed?

A

by measuring the ratio of cardiac circumference or area to the chest circumference or area obtained at the level of the 4CHRT view

19
Q

what are the normal values of C/T area?

A

0.25 - 0.35

20
Q

the coronary sinus

A

delivers venous return from the heart, runs across the atrioventricular groove posteriorly and enters the rt atrium inferiorly

21
Q

the IAS can be recognized in which view?

A

the 4chrt view during diastole

22
Q

Which veins drain directly into the heart?

A

SVC, IVC, CS, and PV’s

23
Q

The DV….

A

is a thin hourglass-shaped fetal vessel that connects the UV to the heart.

24
Q

When do we see the “U” sign in the 3VT view?

A

When a right-sided aortic arch is present; it can be found in combination with a lt ductus arteriosus. It can also be a sign of double aortic arch.

25
in the 3VT view, if we have 3 vessels, but no SVC, what does this suggests?
Present persistent lt SVC with absent rt SVC.
26
What is an absent or hypoplastic thymus suggestive of?
the presence of a 22q11 deletion.
27
What is the thymic-thoracic ratio?
Under normal conditions, the ratio is constant throughout pregnancy with a value of 0.44 and is less than 0.3 in most fetuses with 22q11 deletion.
28
What is associated with an abnormal 3VT view?
Most life-threatening ductal-dependent cardiac malformations.
29
What does a demonstration of a dialated LBCV suggests?
A clue to the presence of supracardiac type of TAPVC.
30
How is the SVC formed?
by the fusion of the LBCV, RBCV and the azygos vein.
31
The DV....
is a thin hourglass-shaped fetal vessel that connects the UV to the heart carrying oxygen rich blood.
32
What does a dilated PA suggestive of in the 3VT
Can be found in isolated pulmonary valve stenosis with poststenotic dilation of the main pulmonary artery. A hugely dilated PA in the 3VT is typically found in tetralogy of Fallot.
33
What is absent pulmonary valve syndrome often present with?
the absence of the arterial duct.
34
What c(ardiac anomaly is associated with a single normal-sized great vessel in the 3VT view?
Transposition of the great arteries. (TGA)