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ultrasound diagnosis of fatal anomalies

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SECOND SCREENING

Fig. 1.24 Second screening, 18–21 weeks.

Color Doppler sonography of the outgoing vessels of

the heart in the systolic phase, depicting the pulmonary

trunk, the ductus arteriosus (Botallo’s duct),

and the fetal aorta.

Fig. 1.25 Second screening, 18–21 weeks.

Fetal circulation at 21 weeks, depicted using the

color Doppler energy mode. Visible here are the aortic

arch leaving the heart, the thoracic and abdominal

aorta, one of the two umbilical arteries and its

course through the abdomen, as well as the intraabdominal

umbilical vein.

Fig. 1.26 Second screening, 18–21 weeks.

The fetal aorta (aortic arch with its three vessels arising

from the cranial part, thoracic and abdominal

aorta)as seen at 21 weeks, with the fetus lying dorsoposteriorly.

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