iHeartEcho™
Fetal Echo · CHD Differentials

EchoAssist™ Navigator — Fetal Echo

Select a fetal cardiac finding to generate a differential diagnosis and clinical guidance.

Protocol Progress
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Fetal Echo Protocol Checklist

Situs determination (stomach, liver, IVC, Ao)Critical
Cardiac axis (normal 45° ± 20°)Critical
Cardiac position (levocardia, mesocardia, dextrocardia)Critical
4-Chamber view: chamber size, AV valves, IVS, IASCritical
LVOT / 5-Chamber view: aortic continuity, VSDCritical
RVOT / 3-Vessel view: PA, Ao, SVC, ductusCritical
3-Vessel Trachea view: vessel alignment, arch sidednessCritical
Aortic arch: sidedness, isthmus size, retrograde flow?Critical
Ductal arch: patency, flow direction
Pulmonary veins: all 4 draining to LA (color Doppler)Critical
IVC / SVC: confirm connections to RA
Cardiac rhythm: regular rate 120–160 bpmCritical
Pericardial effusion
Biometry: GA, EFW, cardiothoracic ratio
AV valve regurgitation (color Doppler)
Ductus venosus waveform (if indicated)

Situs Determination Helper

Situs Solitus

Stomach left, liver right, apex left. Normal arrangement.

Situs Inversus

Mirror image. Stomach right, liver left, apex right.

Situs Ambiguus

Heterotaxy. Bilateral right (asplenia) or bilateral left (polysplenia).