Diagnosis and prognosis in double-outlet right ventricle

American Journal of Perinatology
Ali GedikbasiYavuz Ceylan

Abstract

The aim of this study was to examine prenatal diagnosis of double-outlet right ventricle (DORV)-associated anomalies and prognosis of each case. Medical records were reviewed of fetuses with DORV who had fetal echocardiography at our institution from 2002 to 2006. Pre- and postnatal diagnosis and outcome were compared and evaluated. Twenty-one fetuses were diagnosed with DORV. The pregnancy was terminated in seven cases. Three cases had chromosomal abnormalities; three cases, hypoplastic left ventricle; and one case, encephalocele. Accurate prenatal diagnosis of the ventricular septal defect, outflow obstruction, and great artery relationship was achieved in 14 of 16 cases (87.5%). Only 2 of 13 live-born cases survived beyond 6 months. The overall prognosis for fetuses with DORV is poor. DORV is found in fetuses with a huge spectrum of associated cardiac and extracardiac anomalies. Careful assessment by fetal echocardiography can determine important anatomic details with adequate correctness for precise counseling.

Citations

Oct 12, 2010·American Heart Journal·Maria E LagopoulosLynne E Nield
Mar 18, 2011·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·David Rafael HartgeJan Weichert
Aug 27, 2016·Journal of the American College of Cardiology·Myriam BensemlaliDamien Bonnet
Jul 10, 2020·The International Journal of Cardiovascular Imaging·Mingming MaBowen Zhao
Jan 15, 2010·Current Opinion in Obstetrics & Gynecology

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