Prenatal Diagnosis of Congenital Heart Disease and Birth Outcomes

Landis, Benjamin J.; Levey, Allison; Levasseur, Stéphanie; Glickstein, Julie S.; Kleinman, Charles S.; Simpson, Lynn L.; Williams, Ismée A.

doi:10.1007/s00246-012-0504-4

Cited by 96 publications

(85 citation statements)

References 33 publications

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“…Michiko Yamashita 1) , Nobuhiro Hidaka 1) , Shusaku Hayashi 1) , Akemi Irie 2) , Akiko Miyagi 2) , Yukiko Kawazu 3) , Noboru Inamura 3) , Futoshi Kayatani 3) , Keisuke Ishii 1) , Nobuaki Mitsuda…”

Section: Results Of Fetal Cardiac Ultrasonographic Screening In Our Iunclassified

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Results of Fetal Cardiac Ultrasonographic Screening in Our Institute

Yamashita¹,

Hidaka²,

Hayashi³

et al. 2014

Ped Cardiol Card Surg

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Objective: Congenital heart disease (CHD) may take a serious turn in neonates. The present study aimed to investigate CHD cases diagnosed prenatally or postnatal at our institution and clarify the efficacy of fetal cardiac ultrasonographic screening. Method: The study included singleton pregnant women who underwent fetal cardiac ultrasonographic screening at our hospital and gave birth between April 2008 and March 2012. A retrospective chart review was performed. Fetal cardiac ultrasonographic screening for low-risk pregnancy was performed 3 times at around 18, 28, and 36 weeksʼ gestation, via four-chamber, outflow tract, and three-vessel views. A specialized fetal echocardiography was performed for suspected cases by skilled obstetricians and pediatric cardiologists. Result: A total of 9983 examinations were performed, and 15 cases of CHD were diagnosed in utero. Coarctation of the aorta (CoA) ; CoA and ventricular septal defect (VSD) ; double-outlet right ventricle; corrected transposition of the great arteries (cTGA) ; vascular ring; TGA; persistent left superior vena cava and VSD; dysplastic tricuspid valve; VSD and tricuspid atresia; mitral valve atresia, CoA, VSD, and pulmonary valve stenosis (PS) ; 2 as complete atrioventricular canal defect; and 3 as isolated VSD. Among the 15 cases, 6 were diagnosed by 4-chamber view and 8 by additional outflow tract view. There were 20 falsenegative cases. Tetralogy of Fallot; PS; VSD with bicuspid aortic valve; and 16 as isolated VSD. These 20 cases did not need critical care during the early neonatal period. Conclusion: Our prenatal heart-screening program is clinically feasible to detect CHD. Reexamination in the third trimester may contribute to the diagnosis of CHD.

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Section: Results Of Fetal Cardiac Ultrasonographic Screening In Our Iunclassified

“…Department of 1) Maternal Fetal Medicine, 2) Laboratory Medicine, 3) Pediatric Cardiology, Osaka Medical Center And Research Institute For Maternal And Child Health, Osaka, Japan…”

Section: )mentioning

confidence: 99%

Results of Fetal Cardiac Ultrasonographic Screening in Our Institute

Yamashita¹,

Hidaka²,

Hayashi³

et al. 2014

Ped Cardiol Card Surg

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“…This study also demonstrated that operative mortality and hospital stay in neonates with HLHS were not affected by prenatal diagnosis. 10 However, in 2013, Landis et al 11 reported that prenatal diagnosis of all CHD did not have an impact on preoperative or predischarge mortality.…”

Section: Benefits Of Prenatal Diagnosismentioning

confidence: 99%

Prenatal Counseling and Care for Single-Ventricle Heart Disease: One Center’s Model for Care

Lafranchi

Lincoln

2015

Critical Care Nurse

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Advances in prenatal imaging allow early detection of single-ventricle congenital heart disease, which may enhance prenatal care and maximize care options and decision making. Boston Children's Hospital's Advanced Fetal Care Center and fetal cardiology program provide prenatal counseling and care for single-ventricle congenital heart disease. Key points for optimal prenatal counseling and education include explanation of the diagnosis, delivery, the first surgery, cardiac neurodevelopmental issues, feeding and growth issues, quality of life and long-term care, family stressors, and fetal cardiac intervention. Such counseling and education help families make the difficult decisions required in this situation. (Critical Care Nurse. 2015;35[5]:53-61)

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“…Prenatal detection of congenital cardiovascular anomalies is considered beneficial for the neonate, allowing for a scheduled delivery and proactive planning of further actions (including interventions and treatment) [2,3]. Without a doubt, echocardiography is the first choice to visualize fetal cardiovascular defects.…”

Section: Introductionmentioning

confidence: 99%

Pattern-based approach to fetal congenital cardiovascular anomalies using the transverse aortic arch view on prenatal cardiac MRI

Dong

Zhu

2014

Pediatr Radiol

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Fetal echocardiography is the imaging modality of choice for prenatal diagnosis of congenital cardiovascular anomalies. However, echocardiography has limitations. Fetal cardiac magnetic resonance imaging (MRI) has the potential to complement US in detecting congenital cardiovascular anomalies. This article draws on our experience; it describes the transverse aortic arch view on fetal cardiac MRI and important clues on an abnormal transverse view at the level of the aortic arch to the diagnosis of fetal congenital cardiovascular anomalies.

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Prenatal Diagnosis of Congenital Heart Disease and Birth Outcomes

Cited by 96 publications

References 33 publications

Results of Fetal Cardiac Ultrasonographic Screening in Our Institute

Results of Fetal Cardiac Ultrasonographic Screening in Our Institute

Prenatal Counseling and Care for Single-Ventricle Heart Disease: One Center’s Model for Care

Pattern-based approach to fetal congenital cardiovascular anomalies using the transverse aortic arch view on prenatal cardiac MRI

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