Recent trends in indications of fetal echocardiography and postnatal outcomes in fetuses diagnosed as congenital heart disease

Korean Circulation Journal
Seulgi ChaJung Yun Choi

Abstract

We hypothesized that fetal echocardiography (echoCG) is an accurate diagnostic tool reflecting well postnatal echoCG findings and outcomes. We reviewed the medical records of 290 pregnant women, including 313 fetuses, who were examined by fetal echoCG at the Seoul National University Children's Hospital from January 2008 through April 2011. The mean gestational age at diagnosis was 26.2±5.2 weeks. The mean age of mothers at diagnosis was 31.7±3.8 years. We identified indications for fetal echoCG in 279 cases. The most common indication was abnormal cardiac findings in obstetrical screening sonography (52.0%). Among the 313 echoCG results, 127 (40.6%) were normal, 13 (4.2%) were minor abnormalities, 35 (11.2%) were simple cardiac anomalies, 50 (16.0%) were moderate cardiac anomalies, 60 (19.2%) were complex cardiac anomalies, 16 (5.1%) were arrhythmias, and 12 (3.8%) were twin-to-twin transfusion syndrome. The most common congenital heart disease was tetralogy of Fallot (23 fetuses, 15.9%). One hundred forty-eight neonates were examined by echoCG. We analyzed differences between fetal echoCG and postnatal echoCG. In 131 (88.5%) cases, there was no difference; in 15 (10.1%), there were minor differences; and in only 2 (1.4%) case...Continue Reading

References

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Citations

Aug 27, 2016·Journal of the American College of Cardiology·Myriam BensemlaliDamien Bonnet
Sep 26, 2014·World Journal of Clinical Pediatrics·Mohammed A Al-Biltagi
Jun 22, 2019·Journal of Korean Medical Science·Susan Taejung KimCheong Rae Roh
Nov 6, 2020·Circulation Journal : Official Journal of the Japanese Circulation Society·Kenichi KurosakiSatoshi Yasuda
Dec 22, 2020·Revista brasileira de ginecologia e obstetrícia : revista da Federação Brasileira das Sociedades de Ginecologia e Obstetrícia·Daniela Tarta da SilveiraGesmar Volga Haddad Herdy

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