{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T00:12:04Z","timestamp":1778112724165,"version":"3.51.4"},"reference-count":30,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T00:00:00Z","timestamp":1765756800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T00:00:00Z","timestamp":1765756800000},"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 Ultrasound Medicine"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To report our experience in the state of Nevada with embedding fetal cardiologists in maternal\u2010fetal\u2010medicine (MFM) clinics and with the current prenatal detection of critical cardiovascular malformations (CCVMs).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We queried our databases for CCVMs, diagnosed pre\u2010 or postnatally, and undergoing fetal demise, elective termination, or born between August 2024 and August 2025. We defined CCVMs as those that required or would have required a therapeutic procedure in the first 60\u2009days.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We identified 70 cases. Of the 70, 66 (94%) had prenatal care. Of the 66 with prenatal care, 62 (94%) were diagnosed prenatally by embedded fetal cardiologists at MFM clinics. For the 62 pregnant women, the reasons for obstetric referrals to MFM care were: 34 (55%) with maternal comorbidities alone, 16 (25%) with maternal comorbidities and suspected fetal anomalies, 9 (15%) with suspected fetal anomalies alone, and 3 (5%) for initial fetal anatomical surveys without maternal comorbidities. For the 62 pregnant women, the indications for fetal cardiologist\u2010attended fetal echocardiograms were: 53 (86%) with a suspected fetal cardiovascular malformation noted on a previous MFM perinatal sonographer's ultrasound, 4 (6%) with a suspected extracardiac fetal anomaly, 4 (6%) with previous poor visualization, and 1 (2%) with a family history of congenital heart disease.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In Nevada, the most recent prenatal detection of CCVMs was 94% statewide. Additionally, 95% of those prenatally diagnosed were products of high\u2010risk pregnancies. Further, embedding fetal cardiologists in all MFM clinics has enhanced the skills of perinatal sonographers and maximized prenatal detection rates statewide.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jum.70155","type":"journal-article","created":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T08:42:42Z","timestamp":1765788162000},"page":"1201-1208","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Embedding Fetal Cardiologists in Maternal\u2010Fetal\u2010Medicine Clinics and Near Universal State\u2010Wide Detection of Critical Cardiovascular Malformations"],"prefix":"10.1002","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5446-268X","authenticated-orcid":false,"given":"William N.","family":"Evans","sequence":"first","affiliation":[{"name":"Children's Heart Center Nevada  Las Vegas Nevada USA"},{"name":"Kirk Kerkorian School of Medicine, Department of Pediatrics, Division of 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Nevada  Las Vegas Nevada USA"},{"name":"Kirk Kerkorian School of Medicine, Department of Pediatrics, Division of Pediatric Cardiology University of Nevada Las Vegas  Las Vegas Nevada USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph M.","family":"Ludwick","sequence":"additional","affiliation":[{"name":"Children's Heart Center Nevada  Las Vegas Nevada USA"},{"name":"School of Medicine, Department of Pediatrics, Division of Pediatric Cardiology University of Nevada Reno  Reno Nevada USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert C.","family":"Rollins","sequence":"additional","affiliation":[{"name":"Children's Heart Center Nevada  Las Vegas Nevada USA"},{"name":"Kirk Kerkorian School of Medicine, Department of Pediatrics, Division of Pediatric Cardiology University of Nevada Las Vegas  Las Vegas Nevada USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William 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