{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T14:56:28Z","timestamp":1790088988387,"version":"4.0.1"},"reference-count":30,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2017,8,29]],"date-time":"2017-08-29T00:00:00Z","timestamp":1503964800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Ultrasound Medicine"],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>To review our 25\u2010year experience with a single umbilical artery and fetal echocardiography to estimate the need for this test in cases of an isolated single umbilical artery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a retrospective review of 436 patients with a diagnosis of a single umbilical artery at our institution between 1990 and 2015. Two hundred eighty\u2010eight women had both an anatomic survey and a fetal echocardiogram. Pregnancies with concurrent extracardiac anomalies or aneuploidy were excluded. The study population was divided into 3 groups based on cardiac views on the anatomic survey: normal, incomplete, and suspicious. Echocardiographic results were compared among the 3 groups. The primary outcome measure was the incidence of cardiac anomalies in the normal group at fetal echocardiography. The data were analyzed by the \u03c7<jats:sup>2<\/jats:sup> test or Fisher exact test.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean maternal age\u2009\u00b1\u2009SD of the group was 29.2\u2009\u00b1\u20096.2 years; 44.1% were primiparas. The mean gestational age at diagnosis was 22.6\u2009\u00b1\u20095.2 weeks, and the mean gestational age at fetal echocardiography was 25.1\u2009\u00b1\u20093.6 weeks. In the normal group, 99.1% (230 of 232) of women had a normal fetal echocardiogram; the 2 abnormal cases were ventricular septal defects. Normal echocardiograms were obtained in 81.8% (36 of 44) and 25.0% (3 of 12) of the \u201cincomplete\u201d and \u201csuspicious\u201d groups, respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Fetuses with a single umbilical artery, in the absence of structural abnormalities, and with normal cardiac views at the time of the anatomic survey do not warrant an echocardiogram.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jum.14353","type":"journal-article","created":{"date-parts":[[2017,8,29]],"date-time":"2017-08-29T15:33:16Z","timestamp":1504020796000},"page":"463-468","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Isolated Single Umbilical Artery and Fetal Echocardiography: A 25\u2010Year Experience at a Tertiary Care City Hospital"],"prefix":"10.1002","volume":"37","author":[{"given":"Padmalatha","family":"Gurram","sequence":"first","affiliation":[{"name":"Department of Obstetrics 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