Measurement of the Great Vessels in the Mediastinum Could Help Distinguish True From False-Positive Coarctation of the Aorta in the Third Trimester

Słodki, Maciej; Rychik, Jack; Moszura, Tomasz; Jakubowski, Lucjusz; Respondek‐Liberska, Maria

doi:10.7863/jum.2009.28.10.1313

Cited by 45 publications

(49 citation statements)

References 19 publications

(22 reference statements)

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“…Our findings confirm the data of Slodki et al 1 and support the value of 4D echocardiography in identifying true CoA among fetuses with ventricular disproportion. …”

Section: Use Of 4-dimensional Sonography In the Measurement Of Fetal supporting

confidence: 92%

Use of 4-Dimensional Sonography in the Measurement of Fetal Great Vessels in Mediastinum to Distinguish True-From False-Positive Coarctation of the Aorta

Rizzo

Arduini

Capponi³

2010

Journal of Ultrasound in Medicine

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“…Our findings confirm the data of Slodki et al 1 and support the value of 4D echocardiography in identifying true CoA among fetuses with ventricular disproportion. …”

Section: Use Of 4-dimensional Sonography In the Measurement Of Fetal supporting

confidence: 92%

Use of 4-Dimensional Sonography in the Measurement of Fetal Great Vessels in Mediastinum to Distinguish True-From False-Positive Coarctation of the Aorta

Rizzo

Arduini

Capponi³

2010

Journal of Ultrasound in Medicine

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“…What is more, fetal echo exam thanks to its high specificity and sensitivity was the most effective method in prenatal CHD screening both in our study as well as in the literature 15,16,17,18 .…”

Section: Fig 8: Genito Urinary Tract Defectsmentioning

confidence: 79%

Assessment of the accuracy in prenatal diagnosis of congenital malformations. Analysis of 101 questionnaires filled in by parents of neonates hospitalized in the Department of Congenital Malformations Polish Mother's Memorial Research Institute

Strzelecka

Słodki

Zieliński

et al. 2015

Prenatal Cardiology

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Introduction: Prenatal diagnosis is an integral part of modern perinatal care. In the article results of questionnaires pertaining to the prenatal process of diagnosis are presented. Parents whose children were afflicted with congenital malformations of all types responded to enquiry Materials and methods: Between March 2014 and March 2015 150 of 355 infants were hospitalized in the Department of Pediatric Intensive Care and Congenital Malformations in Łódź, and 150 had congenital malformations. Results: 101 parents of 150 children (67,3%) have given the feedback. Anomalies were such as: of the digestive system (37%), CHD (25%), OUN (14 %), genito-urinary (13%), skeletal system (9%) and respiratory system (2%). In 65 children of 101 the defects were detected prenatally. The obstetric US exam was the most frequently pointed out as performed (more than 1200). The biochemical markers and genetic tests in were performed in 34 pregnancies. The high percentage of ability to detect malformation was reported in the group of fetal echo examinations. Conclusions: 1. Prenatal ultrasound exams were the least effective method of making appropriate prenatal diagnosis of congenital malformation. 2. Fetal echocardiography had a high level of sensitivity and specificity in detecting congenital malformations. 3. Prenatal cardiologists proved to be the most effective in detecting congenital malformations 89,3 % of detected abnormalities. 4. Biochemical exams had a positive result in only one case of Down Syndrome.

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“…by obtaining the four-chamber view, because examination shows that the right side of the heart is larger than the left and the disproportion is also seen in the great vessels in the mediastinum 4,5,6,7 . The inference is strengthened if there is disproportion between the pulmonary artery and the aorta with the PA/Ao ratio equal to or larger than 1,6 should alert about CoA 8,9 . However, these indicators are not absolutely foolproof 10,11 .…”

Section: Discussionmentioning

confidence: 99%

Original paper. Do Umbilical Cord Wrapped Around the Fetal Body Can Mimic Signs of Aortal Coarctation?

Więckowska

Zych-Krekora

Słodki

et al. 2016

Prenatal Cardiology

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Objectives: Coarctation of the aorta (CoA) is an irreversible congenital heart defect. Its prenatal diagnosis is not rare a subject to false-positive conclusion. We present a novel hypothesis explaining the basis of this error. Methods: Ten cases of prenatal suspicion of the coarctation of the aorta (based on disproportion at the level of 4 chamber view and mediastinum) coincidenced with the umbilical cord wrapped around the fetal body were found in the Filemaker datebase of the Fetal Cardiology Department. Only single pregnancies were taken into account. In all cases another cardiac and extracardiac malformations were excluded. Results: The mean maternal age was 29,6 years. The mean gestational age was 33 7/8 weeks. All fetuses were in a good cardiovascular condition. The usual position of the umbilical cord was neck, but they were also location such as nucha, abdomen or lower limb. At birth, all newborns had normal anatomy of the heart. We conclude that the explanation of the false diagnosis was haemodynamic, resulting from the compression of the fetal neck by the umbilical cord that resulted in a disproportion of cardiac blood flow, “mimicking” CoA. Conclusions: 1. Functional disturbances can mimic prenatal CoA. 2. Umbilical cord position (specially enlacing the fetus neck) should be taken into consideration in suspected cases of fetal CoA.

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Measurement of the Great Vessels in the Mediastinum Could Help Distinguish True From False-Positive Coarctation of the Aorta in the Third Trimester

Cited by 45 publications

References 19 publications

Use of 4-Dimensional Sonography in the Measurement of Fetal Great Vessels in Mediastinum to Distinguish True-From False-Positive Coarctation of the Aorta

Use of 4-Dimensional Sonography in the Measurement of Fetal Great Vessels in Mediastinum to Distinguish True-From False-Positive Coarctation of the Aorta

Assessment of the accuracy in prenatal diagnosis of congenital malformations. Analysis of 101 questionnaires filled in by parents of neonates hospitalized in the Department of Congenital Malformations Polish Mother's Memorial Research Institute

Original paper. Do Umbilical Cord Wrapped Around the Fetal Body Can Mimic Signs of Aortal Coarctation?

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