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European Journal of Ultrasound 5-2020
Aline Wolter et al.
Tetralogy of Fallot (TOF) affects about 3/10 000 live births. If there are no extracardiac anomalies and the pulmonary artery is without relevant stenosis with forward flow within the pulmonary trunk, i. e., uncomplicated classic TOF, the prognosis is optimistic. Early intervention is associated with more perioperative complications, a need for inotropic support and a longer duration of ventilatory support and increased but transient intensive care unit morbidity.
Christiane Kähler et al.
A precondition for the early detection of fetal abnormalities is the high quality of prenatal basic ultrasound (screening examination). The objective of ultrasound screening is the recognition of abnormal fetal growth and fetal anatomical anomalies. The prenatal detection of fetal abnormalities enables detailed prenatal counselling of parents, improved care at birth and potentially a reduction in morbidity and mortality. In the guidelines for maternity care in Germany ("Mutterschaftsrichtlinien"), the performance of basic ultrasound in pregnancy is not clearly defined. The required image documentation includes a few biometric measurements only.