A brief history of fetal echocardiography and its impact on the management of congenital heart disease

Maulik, Dev; Nanda, Navin C.; Maulik, Devika; Vilchez, Gustavo

doi:10.1111/echo.13713

Cited by 40 publications

(33 citation statements)

References 55 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Fetal echocardiograms may be performed every 4 weeks based on the gestational age at the time of initial suspicion. In addition, prenatal echocardiography diagnosis relies on the quality of image extremely [16] . Sometimes suboptimal imaging of fetal heart could interfere the clinical determination by physicians.…”

Section: Discussionmentioning

confidence: 99%

Prenatal Diagnosis of Shone’s Syndrome by Fetal Echocardiography

Li¹,

Wu²,

Sun³

2020

Preprint

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Prenatal Diagnosis of Shone’s Syndrome by Fetal Echocardiography

Li¹,

Wu²,

Sun³

2020

Preprint

View full text Add to dashboard Cite

show abstract

“…Fetal echocardiograms may be performed every 4 weeks based on the gestational age at the time of initial suspicion. In addition, prenatal echocardiography diagnosis relies on the quality of image extremely 18 .Sometimes suboptimal imaging of fetal heart could interfere the clinical determination by physicians.…”

Section: Discussionmentioning

confidence: 99%

Prenatal diagnosis of Shone’s syndrome: ultrasonographic features and differential diagnosis with coarctation of the aorta

Li¹,

Zhao²,

Wu³

et al. 2020

Preprint

View full text Add to dashboard Cite

Objective：To improve the prenatal diagnosis of Shone’s syndrome and identify the mitral valve obstruction associated with the anomaly by comparing the fetal echocardiographic features between Shone’s syndrome and coarctation of the aorta (CoA). Method: Between January 2015 to December 2019, 17 fetuses were diagnosed with Shone’s syndrome prenatally and 8 were analyzed in our final study, their data were compared to normal controls and CoA cases. The main points of identification were summarized. Results: By comparing data between three groups, elevated PA/AO ratio and RV/LV ratio were detected in both Shone’s syndrome and CoA cases. However, TVC/MVC ratios was only increased in Shone’s syndrome. Analysis revealed that the TVC/MVC ratio had the best capability in predicting Shone’s syndrome. Ultrasonographic features of mitral valve obstruction in Shone’s syndrome were unique which help clinicians to distinguish the anomaly from CoA, including (1) morphologic changes in short-axis view: restrictive opening of the mitral valve with diastolic deformity, thickened leaflets, echo-enhancement of chordae tendineae and mitral valve, single papillary muscle or dominant papillary muscle; (5) in color Doppler image: decreased antegrade flow and abnormal flow pattern of mitral valve. Conclusion: There are two key points of prenatal diagnosis of Shone’s syndrome which could help fetal cardiologist to distinguish Shone’s syndrome from CoA in clinical practice, including (1) echocardiographic measurements: the elevated TVC/MVC ratio; (2) morphologic changes of mitral valve indicating left ventricle inflow obstruction in two-dimension short-axis section view.

show abstract

“…Fetal ECHO was introduced as a diagnostic modality in the early 1970s and has advanced significantly over the past few decades. 4 It has been shown to be a valuable tool in the optimization of perinatal care. 5,6 To date, no fetal interventions have been attempted for the palliation of this condition.…”

Section: Discussionmentioning

confidence: 99%

Untitled

2019

AJP Rep

View full text Add to dashboard Cite

Absence of the aortic valve (AAV) is a very rare congenital heart defect, unlike the absence of pulmonary valves. AAV is usually associated with other cardiac and non-cardiac anomalies. Most of the previously reported cases have been in spontaneously aborted fetuses, underscoring the high mortality of this heart defect. Case A 37-year-old pregnant female (Gravida 5, Para 3) was referred for fetal echocardiogram (ECHO) due to concerns of hypoplastic left heart (HLH) on anatomy ultrasound scan. Fetal ECHO at 22 weeks was significant for a hypoplastic left atrium, nearly atretic mitral valve, small nonapex forming left ventricle (LV), hypoplastic aortic valve with severe aortic insufficiency (►Fig. 1). Serial fetal ECHOs showed the same findings throughout pregnancy. No evidence of hydrops was seen. At 39-week gestation, a female infant was delivered with a birth weight 3.2 kg and Apgar's scores of 8 and 8 at 1 and 5 minutes, respectively. Prostaglandin E-1 (0.05 mcg/kg/ min) infusion was started within an hour of delivery. Postnatal ECHO findings (►Fig. 2, ►Video 1) showed HLH variant with absent aortic valve and severe aortic insufficiency, a large PDA, moderate sized atrial septal defect (ASD), and poor left ventricular posterior wall function. The LV was diffusely echogenic but there was no clear endocardial fibro elastosis.

show abstract

A brief history of fetal echocardiography and its impact on the management of congenital heart disease

Cited by 40 publications

References 55 publications

Prenatal Diagnosis of Shone’s Syndrome by Fetal Echocardiography

Prenatal Diagnosis of Shone’s Syndrome by Fetal Echocardiography

Prenatal diagnosis of Shone’s syndrome: ultrasonographic features and differential diagnosis with coarctation of the aorta

Untitled

Contact Info

Product

Resources

About