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
Detection of transposition of the great arteries in fetuses reduces neonatal morbidity and mortality
Accuracy of prenatal echocardiographic diagnosis and prognosis of fetuses with conotruncal anomalies
Correlation between fetal cardiac diagnosis by obstetric and pediatric cardiologist sonographers and comparison with postnatal findings
Predictors of outcome of biventricular repair in infants with multiple left heart obstructive lesions
Borderline left ventricles in prenatally diagnosed atrioventricular septal defect or double outlet right ventricle: echocardiographic predictors of biventricular repair
Prenatal screening for congenital heart disease with four-chamber and outflow-tract views: a multicenter study
Utility of fetal echocardiography in postnatal management of infants with prenatally diagnosed congenital heart disease
Outcomes of prenatally diagnosed tetralogy of Fallot: Implications for valve-sparing repair versus transannular patch.
The developing role of fetal magnetic resonance imaging in the diagnosis of congenital cardiac anomalies: A systematic review.
Pulmonary outflow tract obstruction in fetuses with complex congenital heart disease: predicting the need for neonatal intervention
Prenatal diagnosis of hypoplastic left heart syndrome: impact of counseling patterns on parental perceptions and decisions regarding termination of pregnancy.
Prevalence, timing of diagnosis and mortality of newborns with congenital heart defects: a population-based study
Recent trends in indications of fetal echocardiography and postnatal outcomes in fetuses diagnosed as congenital heart disease
Fetal echocardiographic measurements and the need for neonatal surgical intervention in Tetralogy of Fallot
First-trimester fetal cardiac examination using spatiotemporal image correlation, tomographic ultrasound and color Doppler imaging for the diagnosis of complex congenital heart disease in high-risk patients
Four-dimensional echocardiography with spatiotemporal image correlation and inversion mode for detection of congenital heart disease
Echocardiographic factors discriminating biventricular versus univentricular approach in the foetus with borderline left ventricle
Pattern-based approach to fetal congenital cardiovascular anomalies using the transverse aortic arch view on prenatal cardiac MRI
Screening of Congenital Heart Diseases by Three-Dimensional Ultrasound Using Spatiotemporal Image Correlation: Influence of Professional Experience
Comparing the accuracy of obstetric sonography and fetal echocardiography during pediatric cardiology consultation in the prenatal diagnosis of congenital heart disease
The role of regional prenatal cardiac screening for congenital heart disease: A single center experience
Evaluation of a Portable Doppler Ultrasound Gating Device for Fetal Cardiac MR Imaging: Initial Results at 1.5T and 3T
Visualization of Ventricular Septal Defects on High-resolution Fetal Ultrasonography: Real or Artifact?
Can echocardiographic screening in the early days of life detect critical congenital heart disease among apparently healthy newborns?
Cardiovascular Disease in the Young Council's Science and Clinical Education Lifelong Learning Committee: Year in Review
Discrepancy Between Pre- and Postnatal Diagnoses of Congenital Heart Disease and Impact on Neonatal Clinical Course - A Retrospective Study at a Japanese Tertiary Institution.
Diagnostic quality of 3Tesla postmortem magnetic resonance imaging in fetuses with and without congenital heart disease.
Discover the latest cardiology research in this collection of the top cardiology journals.
Birth defects encompass structural and functional alterations that occur during embryonic or fetal development and are present since birth. The cause may be genetic, environmental or unknown and can result in physical and/or mental impairment. Here is the latest research on birth defects.