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The size, shape, and sphericity index of the 4\u2010chamber view, RV, and LV were assessed. The number and percentage of fetuses with <jats:italic>z<\/jats:italic> score values of less than \u22121.65 and greater than 1.65 were computed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 49 fetuses, there were 13 perinatal deaths (27%) and 36 (63%) neonatal survivors. Measurements that were unique for neonatal survivors were an increased RV apical transverse width and decreased measurements of the following: LV and RV widths, LV and RV areas, as well as RV sphericity indices.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Fetuses with a smaller RV and LV size and area and those with a globular\u2010shaped RV were at significantly lower risk for perinatal death.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jum.15532","type":"journal-article","created":{"date-parts":[[2020,10,30]],"date-time":"2020-10-30T11:14:31Z","timestamp":1604056471000},"page":"1543-1554","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Cardiac Measurements of Size and Shape in Fetuses With Absent or Reversed <scp>End\u2010Diastolic<\/scp> Velocity of the Umbilical Artery and Perinatal Survival and Severe Growth Restriction Before 34\u2009Weeks' Gestation"],"prefix":"10.1002","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8814-572X","authenticated-orcid":false,"given":"Greggory R.","family":"DeVore","sequence":"first","affiliation":[{"name":"Division of Maternal\u2010Fetal Medicine, Department of Obstetrics and Gynecology, David Geffen School of Medicine University of California  California Los Angeles USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Percy Pacora","family":"Portella","sequence":"additional","affiliation":[{"name":"Perinatology Research Branch, Divisions of Obstetrics and Maternal\u2010Fetal Medicine and Intramural Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development National Institutes of Health, US Department of Health and Human Services  Maryland, and Detroit Bethesda Michigan USA"},{"name":"Department of Obstetrics and Gynecology Wayne State University School of Medicine  Detroit Michigan 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