scholarly journals A STUDY ON THE ANTENATAL SONOGRAPHIC EVALUATION OF CONGENITAL CARDIAC ANOMALIES IN PREGNANT WOMEN FOR A PERIOD OF TWO YEARS

2021 ◽  
pp. 1-4
Author(s):  
Ramakanth Veluru ◽  
Ramesh Kumar ◽  
Revathi RB
Keyword(s):  
Pregnant Women ◽  
Congenital Anomalies ◽  
Live Births ◽  
Cardiac Anomalies ◽  
Sonographic Evaluation ◽  
Cardiac Abnormalities ◽  
Chamber View ◽  
Congenital Cardiac Anomalies ◽  
Cardiovascular Anomalies ◽  
Base View

Structural cardiac anomalies are estimated to occur in 8 of every 1,000 live births. Cardiovascular anomalies are frequently associated with other congenital anomalies because the heart is among the last organs to develop completely in the embryo. The ultrasonographic (US) view like four-chamber view,three-vessel view, a base view, RVOT, and LVOT views are done during the fetal scan to detect cardiac abnormalities

scholarly journals Isolated Fetal Cardiac Abnormalities: Are They Really Isolated?

2018 ◽  
Vol 08 (04) ◽  
pp. e355-e358
Author(s):  
Armin Razavi ◽  
Stephen Chasen
Keyword(s):  
Medical Center ◽  
Cardiac Anomaly ◽  
Hemifacial Microsomia ◽  
Second Trimester ◽  
Inclusion Criteria ◽  
Live Births ◽  
Cardiac Anomalies ◽  
Cardiac Abnormalities ◽  
Structural Abnormalities ◽  
Conotruncal Anomalies

Objective To determine the rate of unsuspected noncardiac abnormalities in newborns suspected to have isolated cardiac abnormalities in the second trimester. Study Design A review of the ultrasound database from the Weill Cornell Medical Center identified fetuses with a suspected cardiac abnormality from January 2006 to November 2016. Cases with prenatally suspected noncardiac structural abnormalities, abnormal fetal or neonatal karyotype or microarray, and those who delivered at an outside institution or underwent abortion were excluded. Neonatal records were reviewed to confirm prenatal findings and to identify anomalies not suspected in the second trimester. Results Sixty-eight live births met the inclusion criteria. Five newborns (7.4%) had major abnormalities not identified in the second trimester. Three newborns had an imperforate anus. One newborn had left hydronephrosis and absent right lung, and one had hemifacial microsomia and fused ribs. All five newborns with unsuspected anomalies were in the group with suspected conotruncal anomalies, with a 11.9% rate of unsuspected anomalies versus 0% in those with nonconotruncal cardiac anomalies (p = 0.15). Conclusion Patients with a suspected isolated fetal cardiac anomaly on ultrasound should be aware of the possibility of other major structural abnormalities, especially in cases of conotruncal cardiac anomalies.

Early diagnosis and screening of congenital cardiac anomalies

2010 ◽  
Vol 21 (2) ◽  
pp. 194-196 ◽  
Author(s):  
Saeed Dastgiri ◽  
Mahdieh Taghizadeh ◽  
Mohammad Heidarzadeh
Keyword(s):  
Early Diagnosis ◽  
Congenital Anomalies ◽  
Birth Defect ◽  
P Value ◽  
Cardiac Anomalies ◽  
Paediatric Cardiologist ◽  
Congenital Cardiac Anomalies ◽  
Northwest Region

AbstractConsiderable numbers of congenital cardiac anomalies are missed at the time of delivery. Study reports show that congenital cardiac anomalies are the second most common birth defect in many countries. Despite this fact, our previous study showed that the prevalence of congenital cardiac anomalies is the fifth most common one, indicating that many of these defects might not be properly diagnosed at the time of delivery and birth. The aim of this study was to estimate the missing frequency of congenital cardiac anomalies at the time of delivery and birth. The population of the study was 185,650 births in the Northwest region of Iran covered by the Tabriz Registry of Congenital Anomalies. A total of 451 children with congenital cardiac anomalies were studied in the region from 2000 to 2009. The expected prevalence of congenital cardiac anomalies at birth was estimated to be 24.2 per 10,000 births while a prevalence of 9.2 per 10,000 births was observed at the same time and place. This indicated that 59.1% of children with congenital cardiac anomalies were not identified at birth (p-value less than 0.05). This proportion increased by 13% over the study period from 2000 to 2009 (p-value greater than 0.1). Our findings indicated that a remarkable frequency of congenital cardiac anomalies was not diagnosed at birth because there was no paediatric cardiologist available at the time of birth in the gynaecology and obstetrics wards.

Ebstein Anomaly: A Review

2014 ◽  
Vol 33 (5) ◽  
pp. 268-274 ◽  
Author(s):  
Joseph Galea ◽  
Sarah Ellul ◽  
Aaron Schembri ◽  
Pierre Schembri-Wismayer ◽  
Jean Calleja-Agius
Keyword(s):  
Right Ventricle ◽  
Neonatal Mortality ◽  
Tricuspid Valve ◽  
Congenital Abnormality ◽  
Congenital Abnormalities ◽  
Ebstein Anomaly ◽  
Live Births ◽  
Cardiac Anomalies ◽  
Congenital Cardiac Anomalies ◽  
The Right

Cardiac congenital abnormalities are a leading cause in neonatal mortality occurring in up to 1 in 200 of live births. Ebstein anomaly, also known as Kassamali anomaly, accounts for 1 percent of all congenital cardiac anomalies. This congenital abnormality involves malformation of the tricuspid valve and of the right ventricle. In this review, the causes of the anomaly are outlined and the pathophysiology is discussed, with a focus on the symptoms, management, and treatments available to date.

Congenital Anomalies Among Singleton Live Births in a Tertiary Care Teaching Hospital

2011 ◽  
Vol 3 (11) ◽  
pp. 358-360
Author(s):  
Manikanta Reddy. V Manikanta Reddy. V ◽  
◽  
Senthil Kumar. S Senthil Kumar. S ◽  
Sanjeeva Reddy. N Sanjeeva Reddy. N
Keyword(s):  
Teaching Hospital ◽  
Congenital Anomalies ◽  
Tertiary Care ◽  
Tertiary Care Teaching Hospital ◽  
Live Births ◽  
Care Teaching

scholarly journals Primary versus Staged Closure of Exomphalos Major: Cardiac Anomalies Do Not Affect Outcome

2017 ◽  
Vol 28 (03) ◽  
pp. 279-284 ◽  
Author(s):  
Clare Rees ◽  
Lucinda Tullie ◽  
Agostino Pierro ◽  
Edward Kiely ◽  
Joe Curry ◽  
...  
Keyword(s):  
Intensive Care ◽  
Length Of Stay ◽  
Primary Closure ◽  
Single Center ◽  
Fascial Defect ◽  
Pentalogy Of Cantrell ◽  
Cardiac Anomalies ◽  
Intensive Care Stay ◽  
Congenital Cardiac Anomalies ◽  
Liver Herniation

Aim The objective of the study is to describe management of exomphalos major and investigate the effect of congenital cardiac anomalies. Methods A single-center retrospective review (with audit approval) was performed of neonates with exomphalos major (fascial defect ≥ 5cm ± liver herniation) between 2004 and 2014.Demographic and operative data were collected and outcomes compared between infants who had primary or staged closure. Data, median (range), were analyzed appropriately. Results A total of 22 patients were included, 20 with liver herniation and 1 with pentalogy of Cantrell. Gestational age was 38 (30–40) weeks, birth weight 2.7 (1.4–4.6) kg, and 13 (60%) were male. Two were managed conservatively due to severe comorbidities, 5 underwent primary closure, and 15 had application of Prolene (Ethicon Inc) mesh silo and serial reduction. Five died, including two managed conservatively, none primarily of the exomphalos. Survivors were followed up for 38 months (2–71). Cardiac anomalies were present in 20 (91%) patients: 8 had minor and 12 major anomalies. Twelve (55%) patients had other anomalies. Primary closure was associated with shorter length of stay (13 vs. 85 days, p = 0.02), but infants had similar lengths of intensive care stay, duration of parenteral feeds, and time to full feeds. Infants with cardiac anomalies had shorter times to full closure (28 vs. 62 days, p = 0.03), but other outcomes were similar. Conclusion Infants whose defect can be closed primarily have a shorter length of stay, but other outcomes are similar. Infants with more significant abdominovisceral disproportion are managed with staged closure; the presence of major cardiac anomalies does not affect surgical outcome.

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