{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T05:49:19Z","timestamp":1792043359075,"version":"4.4.0"},"reference-count":9,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T00:00:00Z","timestamp":1791936000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T00:00:00Z","timestamp":1791936000000},"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"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Pulmonary arteriovenous malformation (PAVM) is a rare congenital vascular anomaly characterized by direct communication between the pulmonary artery and vein, resulting in a right\u2010to\u2010left shunt. Prenatal diagnosis remains uncommon. We report a fetal PAVM diagnosed at 21\u2009weeks' gestation on fetal echocardiography. Color Doppler with graphic flow imaging demonstrated turbulent swirling flow within the right pulmonary vein, while spectral Doppler showed an arterialized pulmonary venous waveform. High\u2010definition color Doppler and 3D\/4D spatiotemporal image correlation (STIC) rendering confirmed a fistulous communication between the right pulmonary artery and vein. Prenatal recognition of PAVM is essential for serial surveillance, parental counseling, multidisciplinary perinatal planning, and early neonatal intervention.<\/jats:p>","DOI":"10.1002\/jcu.70404","type":"journal-article","created":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T05:36:57Z","timestamp":1792042617000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Prenatal Diagnosis of Pulmonary Arteriovenous Malformation With\n                    <scp>3D<\/scp>\n                    \/\n                    <scp>4D STIC<\/scp>\n                    Fetal Echocardiography"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4771-293X","authenticated-orcid":false,"given":"Amit Kumar","family":"Pandey","sequence":"first","affiliation":[{"name":"Department of Pediatric Cardiology Amrita Institute of Medical Sciences  Kochi Kerala India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6636-8308","authenticated-orcid":false,"given":"Balu","family":"Vaidyanathan","sequence":"additional","affiliation":[{"name":"Head, Fetal Cardiology Division Amrita Institute of Medical Sciences  Kochi Kerala India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,14]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"crossref","first-page":"779","DOI":"10.1007\/s00246-025-03830-8","article-title":"Neonatal Transcatheter Closure of a Large Pulmonary Arteriovenous Fistula With a KONAR\u2010MF VSD Occluder","volume":"47","author":"Callegari A.","year":"2026","journal-title":"Pediatric Cardiology"},{"key":"e_1_2_10_3_1","doi-asserted-by":"crossref","first-page":"609","DOI":"10.1111\/cge.13849","article-title":"Identification of a Novel de Novo Mutation of ENG Gene in a Fetus With Pulmonary Arteriovenous Malformation","volume":"98","author":"Cheng C.","year":"2020","journal-title":"Clinical Genetics"},{"key":"e_1_2_10_4_1","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1002\/jcu.23681","article-title":"Prenatal Diagnosis of Pulmonary Arteriovenous Malformations With a Postnatal Diagnosis of Osler\u2010Weber\u2010Rendu Syndrome","volume":"52","author":"Daglar H. K.","year":"2024","journal-title":"Journal of Clinical Ultrasound"},{"key":"e_1_2_10_5_1","first-page":"E83","article-title":"Transcatheter Occlusion of Large Pulmonary Arteriovenous Malformations Using Multiple Devices in a Neonate","volume":"86","author":"Devangondi R.","year":"2015","journal-title":"Catheterization and Cardiovascular Interventions"},{"key":"e_1_2_10_6_1","article-title":"Pulmonary Arteriovenous Malformation Embolization: Prediction of Angiographically Confirmed Recanalization According to CT Diameter Changes","volume":"4","author":"Hong S. J.","year":"2021","journal-title":"CVIR Endovascular"},{"key":"e_1_2_10_7_1","doi-asserted-by":"crossref","DOI":"10.1155\/2023\/5469592","article-title":"Pulmonary Arteriovenous Malformation Unmasked by Pregnancy: Review of Pulmonary Arteriovenous Malformations and Cardiovascular Changes in Pregnancy","volume":"2023","author":"Lukic A.","year":"2023","journal-title":"Case Reports in Pulmonology"},{"key":"e_1_2_10_8_1","doi-asserted-by":"crossref","DOI":"10.3390\/jcm9061927","article-title":"Approach to Pulmonary Arteriovenous Malformations: A Comprehensive Update","volume":"9","author":"Majumdar S.","year":"2020","journal-title":"Journal of Clinical Medicine"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCIMAGING.122.014247"},{"key":"e_1_2_10_10_1","doi-asserted-by":"crossref","first-page":"688","DOI":"10.1002\/uog.26243","article-title":"Visualization of Intracardiac Flow Pattern in Fetuses With Congenital Heart Defects: Pilot Study of Blood Speckle\u2010Tracking Echocardiography","volume":"62","author":"Xu R.","year":"2023","journal-title":"Ultrasound in Obstetrics & Gynecology"}],"container-title":["Journal of Clinical Ultrasound"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jcu.70404","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/jcu.70404","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jcu.70404","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T05:36:59Z","timestamp":1792042619000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jcu.70404"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,14]]},"references-count":9,"alternative-id":["10.1002\/jcu.70404"],"URL":"https:\/\/doi.org\/10.1002\/jcu.70404","archive":["Portico"],"relation":{},"ISSN":["0091-2751","1097-0096"],"issn-type":[{"value":"0091-2751","type":"print"},{"value":"1097-0096","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,14]]},"assertion":[{"value":"2026-05-27","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-01","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-14","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"jcu.70404"}}