Perinatal outcomes of pregnancies with prenatally diagnosed foetal congenital heart disease

2022 ◽  
pp. 1-6
Author(s):  
Riza Madazlı ◽  
Ebru Alıcı Davutoglu ◽  
Verda Alpay ◽  
Didem Kaymak ◽  
Hakan Erenel ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Perinatal Outcomes

Prenatal Maternal Hyperoxygenation Testing and Implications for Critical Care Delivery Planning among Fetuses with Congenital Heart Disease: Early Experience

2017 ◽  
Vol 35 (01) ◽  
pp. 016-023 ◽  
Author(s):  
Mary Donofrio ◽  
David Schidlow
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Care Delivery ◽  
Perinatal Outcomes ◽  
Atrial Septum ◽  
Fetal Ultrasound ◽  
Ebstein Anomaly ◽  
Intact Atrial Septum ◽  
Vertical Vein

Background Maternal hyperoxygenation (MH) during fetal ultrasound can characterize fetal pulmonary vasoreactivity (PVr) and its associations with postnatal physiology. Objective We explored MH testing to facilitate perinatal risk stratification for fetuses with congenital heart disease (CHD). Methods MH was performed in 12 fetuses: 2 with Ebstein anomaly, 2 with total anomalous pulmonary venous connection (TAPVC), 4 with hypoplastic left heart syndrome (HLHS) with (a) restrictive atrial septum (RAS) or (b) intact atrial septum (IAS) with decompressing vertical vein (VV), and 4 with D-loop transposition of the great arteries (TGA). PVr and physiologic and anatomic changes with MH and outcomes were recorded. Results Among Ebstein fetuses, pulmonary blood flow with MH mirrored postnatal findings. Among TAPVC fetuses, MH VV gradients correlated with postnatal gradients. One HLHS/IAS/VV fetus had no PVr and decreased pulmonary vein forward to reverse velocity time integral ratio with MH. Shortly after delivery, the infant experienced severe low cardiac output and required urgent atrial septoplasty. The remaining HLHS fetuses had PVr and underwent routine Stage 1 Norwood. Among TGA fetuses, septum primum position, foramen ovale flow, and the presence or absence of PVr with MH reflected postnatal findings. Conclusion MH may help identify fetuses with CHD at risk for perinatal compromise. Additional study may yield insights into fetal PVr and elucidate predictors of perinatal outcomes.

Perinatal outcomes of congenital heart disease after emergent neonatal cardiac procedures

2017 ◽  
Vol 31 (20) ◽  
pp. 2709-2716
Author(s):  
Aline Wolter ◽  
Helene Holtmann ◽  
Andreea Kawecki ◽  
Jan Degenhardt ◽  
Christian Enzensberger ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Perinatal Outcomes ◽  
Cardiac Procedures
Sign in / Sign up

Export Citation Format

Share Document