{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T05:08:42Z","timestamp":1780376922935,"version":"3.54.1"},"reference-count":16,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Clinical Ultrasound"],"published-print":{"date-parts":[[2026,6]]},"abstract":"ABSTRACT<\/jats:title>\n \n Purpose<\/jats:title>\n Aortic coarctation (CoA) is a congenital structural anomaly with one of the lowest detection rates among heart diseases. Improving diagnostic rates allows for the centralization of high\u2010risk cases in hospitals with pediatric cardiac surgery facilities, thereby reducing neonatal mortality and morbidity. This study aims to evaluate new diagnostic protocols to enhance the clinical and outpatient management of suspected CoA cases.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n A retrospective analysis was conducted, focusing on various echocardiographic parameters to identify the most predictive indicators for CoA.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n A total of 184 cases with a prevalence of right\u2010sided heart sections were identified, with 128 patients meeting the inclusion criteria. Of these, 15 cases of CoA were confirmed postnatally, representing 11.7% of the cohort. Among these, 80% showed early echocardiographic signs of CoA. The ratio of pulmonary valve (PV) to aortic valve (AV) diameters emerged as the most reliable parameter, especially in early gestation, while the\n z<\/jats:italic>\n \u2010score of the aortic isthmus was also a strong predictor.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n The use of simple, reliable echocardiographic parameters can improve the detection rate of high\u2010risk CoA cases, enabling better clinical management and improved neonatal outcomes in both the short and long term.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/jcu.70170","type":"journal-article","created":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T15:58:31Z","timestamp":1767283111000},"page":"1096-1106","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Fetal Echocardiographic Features for the Prediction of the Development of Aortic Coarctation in the Perinatal Period"],"prefix":"10.1002","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-1428-3059","authenticated-orcid":false,"given":"Matteo","family":"Bernardi","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology ASST Spedali Civili of Brescia Brescia Italy"},{"name":"Department of Clinical and Experimental Sciences University of Brescia Brescia Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Greta","family":"Pascariello","sequence":"additional","affiliation":[{"name":"Unit of Pediatric Cardiology and Congenital Heart Diseases ASST Spedali Civili of Brescia Brescia Italy"},{"name":"Department of Medical\u2010Surgical Specialties, Radiological Sciences and Public Health University of Brescia Brescia Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandra","family":"Manerba","sequence":"additional","affiliation":[{"name":"Unit of Pediatric Cardiology and Congenital Heart Diseases ASST Spedali Civili of Brescia Brescia Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marta","family":"Papaccio","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology ASST Spedali Civili of Brescia Brescia Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Franco Edoardo","family":"Odicino","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology ASST Spedali Civili of Brescia Brescia Italy"},{"name":"Department of Clinical and Experimental Sciences University of Brescia Brescia Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marino","family":"Signorelli","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology ASST Spedali Civili of Brescia Brescia Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,1,1]]},"reference":[{"issue":"1","key":"e_1_2_11_2_1","first-page":"E5","article-title":"AIUM Practice Parameter for the Performance of Fetal Echocardiography","volume":"39","author":"AIUM (American Institute of Ultrasound in Medicine)","year":"2020","journal-title":"Journal of Ultrasound in 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