Abnormalities of the Four Chamber View

Owen I. Miller, John Simpson, Vita Zidere

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review


The four-chamber view (4ChV) is fundamental to fetal echocardiography, as it will show some, but not all the evidence for most fetal cardiac abnormalities. The 4ChV provides the base view from which further views can be developed and is fundamental in the assessment of ventricular proportions and imbalance, ventricular inlets, evaluation of the crux and for septal defects. Additionally, the 4ChV is the ideal view for initial evaluation of heart rhythm and extracardiac abnormalities such as a pericardial effusion, mass lesions and abnormalities of heart position. This chapter will explore abnormalities seen in the 4ChV and discuss common associations and outcomes for each lesion to guide counselling.

Original languageEnglish
Title of host publicationFetal Cardiology
Subtitle of host publicationA Practical Approach to Diagnosis and Management
PublisherSpringer International Publishing
Number of pages29
ISBN (Electronic)9783319774619
ISBN (Print)9783319774602
Publication statusPublished - 1 Jan 2018
Externally publishedYes

Bibliographical note

Publisher Copyright:
© Springer International Publishing AG, part of Springer Nature 2018.


  • Aortic stenosis
  • Coarctation of the aorta
  • Congenital heart disease
  • Double inlet left ventricle
  • Ebstein’s anomaly of the tricuspid valve
  • Hypoplastic left heart
  • Primary cardiac tumours
  • Pulmonary atresia
  • Septal defects
  • Tricuspid atresia


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