Role of quantitative assessment in fetal echocardiography

Hornberger, Lisa K.

doi:10.1002/uog.7522

Cited by 9 publications

(11 citation statements)

References 25 publications

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“…Single tumors has no predilection towards localization in specified heart cavity 5,6 . The analysis from our Center revealed, that tumors were located both in the atrium, heart ventricles or intraventricular septum.…”

Section: Discussionmentioning

confidence: 99%

Single Fetal Cardiac Tumors and Follow-Up Based on 13 Cases from the Fetal Cardiac Referral Center in 1993-2017

Żalińska

Korabiewska

Krekora

et al. 2017

Prenatal Cardiology

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Single fetal cardiac tumors and follow-up based on 13 cases from the Fetal Cardiac Referral Center in Prenat Cardio 2017 Jan; 7(1):43-49 DOI: 10.1515/pcard-2017-0007 INTRODUCTIONFetal cardiac tumors are rare anomalies: 0,08-0,2% 1,2, while data from Polish Nationwide Register of Fetal Cardiological Problems (in polish-ORPKP), suggested higher prevalence (1,05% Single fetal cardiac tumors are some sort of enigma and for now, there is no unitary algorythm of proceeding, that is why it become the aim of our work. MATERIALThe analysis included 13 cases from our unit Fetal Cardiology Department -Referral Center in the middle of Poland, during the years 1993-2017. Study group were women at the age of 18-37 years, average gestational age during targeted echocardiography examination was 34 weeks of pregnancy. The earliest registration of cardiac tumor was in 20th week of pregnancy, and the latest was during perinatal period (40th week of pregnancy).Corresponding author : a.b.zalinska@gmail.com Submitted: 2017-11-16; accepted: 2017-11-25 Results: Ten out of 13 fetuses with single cardiac tumors (SFCT) had cardiomegaly: on average HA/CA was 0,49. The size of the tumor was different: the smallest one -6 x 6 mm, the biggest 47 x 47 mm. The way of the delivery: in 10 cases there was CS and in 3 cases natural delivery. Birth weight was from 2000-3950 g (average 2989,2 g). Cardiosurgical resection of the tumor was performed on 4 newborns: at 2nd, 4th, 8th and 16th day of life (average 7,5 day). Four neonatal deaths were registered (31%): in 1st 2nd and 11th day (before surgery) and in the 28th day after the operation.Conclusions: Single fetal cardiac tumors (SFCT) can be diagnosed at 20 weeks of pregnancy, which allows to start echocardiographic monitoring, taking into consideration the potential risk of hemodynamic progression. SFCT can be the first sign of tuberous sclerosis complex in later prenatal or postnatal life. SFCT other than rhabdomyoma can be asymptomatic in newborn, but may require an early cardiosurgical resection.

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Section: Discussionmentioning

confidence: 99%

Single Fetal Cardiac Tumors and Follow-Up Based on 13 Cases from the Fetal Cardiac Referral Center in 1993-2017

Żalińska

Korabiewska

Krekora

et al. 2017

Prenatal Cardiology

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“…As detected using echocardiography, fibroma demonstrates equal echo and teratoma demonstrates an uneven echo, usually in the pericardium, while hemangioma demonstrates low echo nodules, with internal tubular echo, or exhibits rich blood flow signals by Doppler ultrasonic examination (11). Rhabdomyoma generally exhibits uniform high echo, stronger than normal myocardial echo, and are usually multiple space-occupying lesions (17,18).…”

Section: A B C D a Bmentioning

confidence: 99%

“…Thus, it is necessary to dynamically monitor the fetal cardiac hemodynamic change (8) and to continuously evaluate the function of the fetal heart by echocardiography (9,10). Accurate prenatal ultrasonic examination of the fetal heart demonstrates important clinical value for the treatment and clinical decision making of fetal cardiac tumors (11).…”

Section: Introductionmentioning

confidence: 99%

Clinical value of prenatal echocardiographic examination in the diagnosis of fetal cardiac tumors

et al. 2015

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Abstract. The aim of the present study was to explore the clinical value of prenatal echocardiographic examination in the diagnosis of fetal cardiac tumors. In total, the cases of 8 fetuses with fetal cardiac tumors, which were identified by prenatal ultrasound examination in The First Affiliated Hospital of Nanchang University between January 2012 and January 2014, were retrospectively analyzed. The size, shape, location, activity and hemodynamic changes of the lesions were described in detail, and the patients were followed up. Out of the 8 identified cases of fetal cardiac tumors, 2 fetuses contained tumors only in the left ventricular cavity and 6 fetuses contained tumors of the left and right ventricular cavities, interventricular septum and apex of the heart. Overall, 5 of the 8 female patients requested termination of the pregnancy and labor was induced. The fetuses were pathologically confirmed to possess rhabdomyoma. In addition, 1 patient was followed-up for 5 weeks, and the tumor in the fetal heart cavity was found to have enlarged and developed in multiple regions when follow-up was performed. The patient then requested termination of the pregnancy and labor was induced. The fetus was pathologically confirmed to possess rhabdomyoma. The remaining 2 patients insisted on continuation of the pregnancy and the fetuses were followed up during gestation and subsequent to birth by echocardiographic examination. Prenatal echocardiography may precisely position and diagnose occupying lesions of the fetal heart, which is of considerable value in clinical decision making and instruction for treatment.

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“…New techniques, such as three‐ and four‐dimensional (3D/4D) ultrasound, tissue Doppler and speckle tracking complement the diagnostic armamentarium, allowing quantitative analysis of fetal cardiac function. Limitations include the large inter‐ and intraobserver variability and the strong influence of cardiac loading conditions. Problems with non‐invasive electrocardiography (ECG)‐gating and motion artifacts restrict utilization of magnetic resonance imaging (MRI) in fetal cardiac imaging at present.…”

Section: Introductionmentioning

confidence: 99%