Discordances Between Pre-Natal and Post-Natal Diagnoses of Congenital Heart Diseases and Impact on Care Strategies

Journal of the American College of Cardiology
Myriam BensemlaliDamien Bonnet

Abstract

Pre-natal diagnosis of congenital heart disease (CHD) allows anticipation of urgent neonatal treatment and provides adequate information to the parents on cardiac outcomes. This study sought to analyze the discordances between expert fetal cardiac diagnosis and final diagnosis of CHD and their impact on neonatal and long-term care strategies. We included 1,258 neonates with a pre-natally diagnosed CHD and 189 fetopsies following termination of pregnancy at our tertiary center over a 10-year period. Pre-natal echocardiographic and final diagnoses were compared. For live births, we identified 368 (29.3%) discordances between pre- and post-natal diagnoses. The pre-natal diagnosis was different from the post-natal diagnosis in 36 cases (2.9%) and partially different with a major impact on neonatal treatment of the CHD in 97 cases (7.7%). In 235 cases (18.7%), the diagnosis was partially different with no impact on neonatal planned treatment. The discordances had a negative impact on late care strategy in 62 cases (4.9%): more complex CHD that was unsuitable for biventricular repair, leading to unplanned compassionate care, additional surgery or increase of the complexity level of the Aristotle score. A positive impact was found in ...Continue Reading

References

May 20, 1999·Journal of the American College of Cardiology·A J TometzkiN H Silverman
Apr 26, 2001·Archives of Disease in Childhood. Fetal and Neonatal Edition·D J Penny, L S Shekerdemian
Jun 2, 2001·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·M Meyer-WittkopfG Sholler
Nov 2, 2004·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·N ZuckerE Zalzstein
Dec 23, 2004·Prenatal Diagnosis·Lindsey D Allan, Ian C Huggon
Oct 11, 2005·Seminars in Fetal & Neonatal Medicine·Mats Mellander
Oct 13, 2006·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·G OggèT Todros
Oct 24, 2007·The Annals of Thoracic Surgery·Jenifer A GlatzJack Rychik
Aug 23, 2008·American Journal of Perinatology·Ali GedikbasiYavuz Ceylan
Oct 15, 2008·Circulation·Hikoro MatsuiHelena M Gardiner
Feb 16, 2011·Circulation·Helen DolkUNKNOWN European Surveillance of Congenital Anomalies (EUROCAT) Working Group
Aug 13, 2011·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·C VotinoM Cannie
Jan 21, 2012·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·A N SealeUNKNOWN British Congenital Cardiac Association
Apr 13, 2012·Prenatal Diagnosis·S A ClurC M Bilardo
May 19, 2012·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·D LauxD Bonnet
May 19, 2012·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·M D QuartermainJ Rychik
Jun 30, 2012·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·E Gómez-MontesA Galindo
Jan 8, 2013·The American Journal of Cardiology·Mary T DonofrioJohn T Berger
Feb 6, 2013·Magnetic Resonance in Medicine : Official Journal of the Society of Magnetic Resonance in Medicine·Christopher W RoyChristopher K Macgowan
Jun 8, 2013·Seminars in Fetal & Neonatal Medicine·Alice WielandnerVanessa Berger-Kulemann
Mar 4, 2014·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·S TuranA A Baschat
May 8, 2014·Pediatric Cardiology·Brooke T DaveyJack Rychik
Sep 10, 2015·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·C L van VelzenM C Haak

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Citations

Aug 27, 2016·Journal of the American College of Cardiology·Norman H Silverman, Anita J Moon-Grady
Feb 23, 2018·Magnetic Resonance in Medical Sciences : MRMS : an Official Journal of Japan Society of Magnetic Resonance in Medicine·Fabian KordingChristian Ruprecht
Jun 2, 2020·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·S Yagel, A J Moon-Grady
Nov 20, 2016·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Julianna Brown, Brian Holland
Dec 21, 2018·Journal of the American Heart Association·Sushma ReddyMeryl S Cohen
Nov 6, 2020·Circulation Journal : Official Journal of the Japanese Circulation Society·Kenichi KurosakiSatoshi Yasuda
Dec 1, 2020·Pediatric Radiology·Julien AguetDavide Marini
Mar 5, 2021·American Journal of Obstetrics and Gynecology·Barbara UlmVanessa Berger-Kulemann
Jul 5, 2019·Gynécologie, Obstétrique, Fertilité & Sénologie·N RouxS Beaudoin

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