CME Credit Information

Number of Credits: 3 CME Credits

Credit Type:


Course Objectives

After completing this course, the participant should be able to:


1. Describe the 3 congenital tricuspid valve defects resulting in right heart dilation in the fetus and how to differentiate them on fetal echo.

2. Name 2 associated findings with Ebstein’s anomaly and the arrhythmias they can cause.

3. Explain reasons for the poor prognosis for severe tricuspid insufficiency in the fetus.


1. List the 4 causes of right heart dilation in the fetus with a structurally normal tricuspid valve

2. Describe the features of premature ductal constriction

3. Describe the etiologies and management of ductal constriction

4. Describe the features of right heart failure in the fetus.

5. Differentiate valvar pulmonary stenosis from absent pulmonary valve syndrome 


1. Describe the diagnostic approach to differentiate coarctation of the aorta from other defects causing right heart enlargement

2. Explain why growth restriction results in right heart enlargement

3. Explain the etiology of twin to twin transfusion syndrome (TTTS)

4. Summarize the cardiac findings seen with Vein of Galen aneurysms


Bettina Cuneo, MD
Director of Perinatal Cardiology and Fetal Cardiac Telemedicine
Professor of Pediatrics and Obstetrics
Children’s Hospital of Colorado


The Institute for Advanced Medical Education is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The Institute for Advanced Medical Education designates this enduring material for a maximum of 3 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

These credits are accepted by the American Registry for Diagnostic Medical Sonography (ARDMS).

For information on applicability and acceptance of continuing education credit for this activity, please consult your professional licensing board or other credentialing organization.

Target Audience

Physicians, sonographers and others who perform and/or interpret obstetrical ultrasound.

System Requirements

In order to complete this program you must have a computer with a recent browser version.  You must also have the capability to display and print PDF files in order to view and print out your certificate.  (Note: Your CME certificate is stored in your account and is available at any time.)

For any questions or problems concerning this program or for problems related to the printing of the certificate, please contact IAME at 802-824-4433 or .

Instructions for Participation and Credit

This activity is designed to be completed within the time designated. To successfully earn credit, participants must complete the activity during the valid credit period. To receive AMA PRA Category 1 Credit™, you must receive a minimum score of 70% on the post-test.

Follow these steps to earn CME credit:

  • Read the target audience, learning objectives, and author disclosures.
  • Study the educational content online or printed out.
  • Take the CME quiz. Choose the best answer to each test question. To receive a certificate, you must receive a passing score of 70%. We encourage you to complete the Activity Evaluation to provide feedback for future programming.

Your CME credits will be archived in the account you create and can be accessed at any time. 

Estimated Time for Completion:
approximately 50 minutes
Date of Release: August 20, 2018
Expiration Date: August 19, 2021


In compliance with the Essentials and Standards of the ACCME, the author of this CME tutorial is required to disclose any significant financial or other relationships they may have with commercial interests.

Dr. Bettina Cuneo discloses no such relationships exist.

No one at IAME who had control over the planning or content of this activity has relationships with commercial interests.