Foetal echocardiographic assessment of tetralogy of Fallot and post-natal outcome

European Heart Journal
Florentia KaguelidouD Bonnet

Abstract

Outcome of foetuses diagnosed with tetralogy of Fallot (TOF) or pulmonary atresia with ventricular septal defect (PA-VSD) and the reliability of foetal echocardiography to predict post-natal surgical outcome. Outcome of 218 foetuses having been diagnosed with TOF (n = 153) or PA-VSD (n = 65) was reviewed. Abnormal karyotyping, 22q11 deletion, and extracardiac anomalies were found, respectively, in 11, 18, and 46%. Pregnancy was terminated in 75 cases (34%), and in three cases foetuses died in utero. Presence or absence and confluence of PA branches were confirmed after birth or pregnancy termination in all but five (5%) cases. Main pulmonary trunk (MPA) was incorrectly described in 11 (10%) cases and major aorto-pulmonary collateral arteries in 16 (13%) cases. Among live born infants, 110 (88%) were operated and 92 (74%) underwent complete repair in the first year of life. Size of confluent PAs and presence of MPA were related to the probability of having a complete repair in the first year of life. Foetal diagnosis of TOF and PA-VSD has a major impact on pregnancy outcome, as associated anomalies are frequently found. Pre-natally determined size of PA branches and presence of MPA are good predictors of complete repair in the f...Continue Reading

Citations

Jun 23, 2009·Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie·D Bonnet
Aug 28, 2014·Cardiology in the Young·Sally-Ann B Clur, Caterina M Bilardo
Jul 27, 2010·Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie·S Parat, A Giuseppi
Jan 28, 2015·BJOG : an International Journal of Obstetrics and Gynaecology·C L van VelzenM C Haak
Apr 5, 2011·Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie·R BonnefoyA Chantepie
Jun 2, 2009·European Journal of Obstetrics, Gynecology, and Reproductive Biology·A GalindoO Nieto
Apr 13, 2012·Prenatal Diagnosis·S A ClurC M Bilardo
Apr 15, 2014·Journal of Perinatal Medicine·Mohamed A HamdanHisham M Mirghani
Mar 30, 2016·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Yili ZhaoQichang Zhou
Sep 15, 2011·Prenatal Diagnosis·S A B ClurC M Bilardo
Jan 18, 2018·The Cochrane Database of Systematic Reviews·Nadia Mohammed VashistVipul Jairath
Jan 8, 2019·Ultraschall in der Medizin : Organ der Deutschen Gesellschaft für Ultraschall in der Medizin, [der] Österreichischen Gesellschaft für Ultraschall in der Medizin, [der] Schweizerischen Gesellschaft für Ultraschall in Medizin und Biologie·Ingo GottschalkChristoph Berg
Aug 24, 2021·BMC Pregnancy and Childbirth·Maya WaernYlva Carlsson

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cardiology Journals

Discover the latest cardiology research in this collection of the top cardiology journals.