Early fetal echocardiography—A reliable prenatal diagnosis tool

McAuliffe, Fionnuala M.; Trines, Jean; Nield, Lynne E.; Chitayat, David; Jaeggi, Edgar; Hornberger, Lisa K.

doi:10.1016/j.ajog.2005.05.086

Cited by 72 publications

(73 citation statements)

References 18 publications

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“…With advances in ultrasound technology, which has allowed for the significant improvements in high-resolution imaging necessary to visualize the developing fetal heart, fetal echocardiography can now be performed in the late first trimester and early second trimester of pregnancy. [6][7][8][9] In addition, with the wide availability and practice of nuchal translucency (NT) measurements, which typically occurs between 11 and 14 weeks gestational age, the demand for early fetal cardiac imaging has increased. Increased NT has been shown to be associated with CHD, even in the presence of normal karyotype, 10,11 and early and accurate cardiac diagnosis is an essential part of the evaluation of these fetuses.…”

Section: Introductionmentioning

confidence: 99%

Early fetal echocardiography: congenital heart disease detection and diagnostic accuracy in the hands of an experienced fetal cardiology program

2014

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Section: Introductionmentioning

confidence: 99%

Early fetal echocardiography: congenital heart disease detection and diagnostic accuracy in the hands of an experienced fetal cardiology program

2014

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“…13 Confirmation of the diagnosis led to a multidisciplinary approach, with involvement of a pediatric cardiologist, a geneticist, and the obstetrician, so that the most accurate information could be given to the parents to help them in the decision-making process. 6 Perioperative morbidity and mortality are lower for prenatally diagnosed cardiac lesions, as delivery can be arranged in a center with adequate neonatal resuscitation and surgical facilities 13 .…”

Section: Graph 2 Discussionmentioning

confidence: 99%

Transabdominal Sonographic Quantitative Analysis of the Fetal Cardiac Width in Third Trimester of Gestation

Yerolavi¹,

Natarajan²

2014

jemds

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Antenatal ultrasonography is noninvasive and done on routine basis in our institution. A four chamber view of the fetal heart is done as a part of regular sonographic examination of the fetus. Most cases of congenital heart disease are of structural rather than functional origin. The heart grows very rapidly during the third trimester (positive allometry). The linear increase of the fetal heart shows a strong and significant correlation with the increase of both femur length and BPD. This suggests that non-invasive analysis of cardiac data can be useful for prenatal detection of congenital heart disease or for the gestational age. 1 If a malformation is diagnosed in the third trimester, the fetus should be delivered at a facility equipped to care of the infant with congenital heart disease. The fetal heart was studied with transabdominal sonography in 132 single normal pregnancies in third trimester Measurement of cardiac width (transverse diameter) of the heart was taken. Gestational age was assessed by fetal parameters that are biparietal diameter, femur length and abdominal circumference as per the norms in one of the Mumbai's medical teaching institute and tertiary care center. This study verified that the heart grows very rapidly during the third trimester (positive allometry). The linear increase of the fetal heart shows a strong and significant correlation with the increase of biparietal diameter, femur length and abdominal circumference. Relationships between the cardiac data and fetal age, biparietal diameter, femur length and abdominal circumference were explored by allometry and linear regression analysis in order to estimate cardiac growth rates during third trimester. This suggests that noninvasive analysis of cardiac data can be useful for the assessment of gestational age or for prenatal detection of congenital heart disease.

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“…Many major structural heart lesions can now be detected by fetal echocardiography at 12-14 weeks [60,62,73]; however, the extent to which a detailed cardiac diagnosis can be made and the natural history of disease diagnosed at such an early gestational age is not known. Still, early diagnosis provides time for further testing, including chorionic villus sampling or amniocentesis for fetal karyotype, time to observe progression, time to consider the impact of the fetal pathology as well as choice for early pregnancy termination which poses a lower risk to the pregnant woman [74,75].…”

Section: First Trimester Fetal Echocardiographymentioning

confidence: 99%

“…Initial interest in earlier assessment stemmed from the advent of endovaginal transducers in the late 1980s which permit imaging in closer proximity to the fetus at less than 14 weeks of gestation through the maternal cervix [56][57][58]. Recognition that transabdominal imaging with high frequency transducers permits assessment of many pregnancies at earlier ages has also resulted in greater enthusiasm for early screening among pediatric cardiologists who have not been trained and/or are uncomfortable with transvaginal imaging [60][61][62]. Over the past decade, routine application of nuchal translucency screening has exponentially fueled the need for earlier screening of the fetal heart ( Figure 6).…”

Section: First Trimester Fetal Echocardiographymentioning

confidence: 99%

Fetal Echocardiography and Prenatal Cardiovascular Interventions – An Update (2012)

Hornberger

Moon‐Grady²,

Tworetzky³

2012

J Clin Exp Cardiolog

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Fetal echocardiography has evolved considerably over the past 1-2 decades into an exciting field that bridges maternal-fetal medicine with neonatology and pediatric cardiology. With significant advances in imaging technology and experience in prenatal diagnosis, details of the cardiac pathology can now be defined much as it is postnatally; however, unique aspects of the fetal circulation limit our ability to consistently define lesion severity and to predict the evolution of cardiac defects after birth. Serial assessment has provided an understanding of the antenatal natural history of fetal heart disease, which has led to improved counseling and perinatal/neonatal management strategies. More recently, this field has focused on improving our evaluation of fetal arrhythmias, exploring the pathophysiology of fetal heart failure, detecting heart defects at earlier gestational ages, identifying novel interventions to alter the development and progression of severe disease, and investigating strategies to optimize prenatal and neonatal care in an effort to improve perinatal outcome of affected pregnancies. In this paper we will review the current state of the art of fetal/perinatal cardiology and the advances that have occurred in the field largely over the past decade.

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Early fetal echocardiography—A reliable prenatal diagnosis tool

Cited by 72 publications

References 18 publications

Early fetal echocardiography: congenital heart disease detection and diagnostic accuracy in the hands of an experienced fetal cardiology program

Early fetal echocardiography: congenital heart disease detection and diagnostic accuracy in the hands of an experienced fetal cardiology program

Transabdominal Sonographic Quantitative Analysis of the Fetal Cardiac Width in Third Trimester of Gestation

Fetal Echocardiography and Prenatal Cardiovascular Interventions – An Update (2012)

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