Fetal foramen ovale flap tracings, as determined by M-mode echocardiography between weeks 24 and 39 of gestation

Respondek‐Liberska, Maria; Sylwestrzak, Oskar

doi:10.33963/kp.a2022.0086

Cited by 4 publications

(8 citation statements)

References 12 publications

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“…FO index, when multiplied by the FO diameter, especially in fetuses with dTGA, can predict with 100% specificity and PPV the risk of urgent BAS at birth. 21,22 Premature RFO or cFO in otherwise a structurally normal heart, if found later in gestation, is generally associated with an overall good outcome but there was an association between RFO/cFO and neonatal mortality and morbidity, which is worthy of further discussion. 20 Unfortunately, most of the studies included in our literature review did not mention prenatal diagnosis and genetic associations.…”

Section: Critique Of the Literature: Discussionmentioning

confidence: 99%

“…This formula is obtained from the ratio of the two atria transverse section measurements in diastole and the maximum valve excursion of the FO. FO index, when multiplied by the FO diameter, especially in fetuses with dTGA, can predict with 100% specificity and PPV the risk of urgent BAS at birth 21,22 …”

Section: Critique Of the Literature: Discussionmentioning

confidence: 99%

“…It would be interesting to evaluate with further studies specific functional echocardiographic parameters defining RFO by M-Mode trans-atrial evaluation. 21,22…”

Section: Diagnostic Features Of Rfomentioning

confidence: 99%

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Echocardiographic features and outcome of restrictive foramen ovale in fetuses with and without cardiac malformations: Literature review

Vena

Bartolone

D'Alberti

et al. 2022

J of Clinical Ultrasound

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Foramen ovale is a small communication between the left and the right atrium and its restriction is a rare congenital heart anomaly. There is no consensus on diagnosis and management of fetal restrictive foramen ovale (RFO). In our paper we included 11 studies about fetuses affected by isolated RFO, RFO with D-Transposition of the Great Arteries (dTGA) and RFO with hypoplastic left heart syndrome (HLHS). While fetuses affected from HLHS and dTGA with RFO have a poor prognosis, premature RFO in an otherwise structurally normal heart, if found in later gestation, have an overall good outcome.

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Section: Critique Of the Literature: Discussionmentioning

confidence: 99%

Section: Critique Of the Literature: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Echocardiographic features and outcome of restrictive foramen ovale in fetuses with and without cardiac malformations: Literature review

Vena

Bartolone

D'Alberti

et al. 2022

J of Clinical Ultrasound

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“…M‐Mode of atria started to be mentioned by Polish researchers and normal values were established, ranging from 20% to 32% 8,9 . Previously, similar idea was used by Zielinsky et al.…”

Section: Discussionmentioning

confidence: 99%

“…M-Mode of atria started to be mentioned by Polish researchers and normal values were established, ranging from 20% to 32%. 8,9 Previously, similar idea was used by Zielinsky et al but without Mmode echocardiography and in case of intrauterine growth restricted fetuses. 10 For better quantification of FO and atrial movements atrial M-mode index was introduced and showed its clinical value in d-TGA fetuses.…”

Section: Case Reportmentioning

confidence: 99%

Longitudinal functional assessment of atrial M‐mode in dextro‐ transposition of the great arteries fetus may help to predict the necessity for urgent neonatal Rashkind procedure

Respondek‐Liberska

Sylwestrzak

2022

Echocardiography

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Six fetal echocardiographic examinations were analyzed and presented with special emphasis on atrial M-mode in one case of fetal isolated dextro-transposition of the great arteries. The only significant changes were seen based on analysis of the new index of foramen ovale (FO) flap movement. Emergency Rashkind procedure on the first day of postnatal life was predicted based on fetal atrial M-mode. K E Y W O R D S d-TGA, fetal echocardiography, M-mode How to cite this article: Respondek-Liberska M, Sylwestrzak O. Longitudinal functional assessment of atrial M-mode in dextro-transposition of the great arteries fetus may help to predict the necessity for urgent neonatal Rashkind procedure.

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Functional assessment of atrial wall excursion and foramen ovale flap tracings in 3rd trimester as predictor of short-term hemodynamic stability in congenital heart defects fetuses

Sylwestrzak

Strzelecka

Silverman

et al. 2022

Journal of Perinatal Medicine

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Objectives Right atrium and left atrium of the fetal heart play a fundamental role in fetal heart circulatory physiology. Methods Excursion of fetal atria walls and tracings of foramen ovale (FO) flap movement were analyzed by M-mode echocardiography by new FO index to determine fetal and neonatal outcome in the first week and month of life in various congenital heart defects. The study group was divided into 3 subgroups: group A: neonates stable after birth (all on I.V. prostaglandin infusion) for at least 7 days, group B: neonates unstable after birth (despite I.V. prostaglandin infusion) requiring catheterization procedure or early cardiac surgery <6th day of life and group C: fetuses with in utero demise. Results The average values of FO index: group A – 32, group B – 20, group C – 12.Schaffe test showed statistical difference of FO index between group A and B (p=0.029) and group A and C (p=0.001), but no difference between group B and C (p=0.24) The FO index of stability was determined by ROC curve analysis. Cut-off point distinguishing between postnatal stability and postnatal instability + in utero demise constituted FO index=25 (specificity 82%; sensitivity 90%). Conclusions Prenatal features of atrial M-mode echocardiography shortly before birth might be helpful to predict the short term prognosis of fetal hemodynamic stability or instability shortly after birth regardless of the type of congenital heart defects (CHD).

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Fetal foramen ovale flap tracings, as determined by M-mode echocardiography between weeks 24 and 39 of gestation

Cited by 4 publications

References 12 publications

Echocardiographic features and outcome of restrictive foramen ovale in fetuses with and without cardiac malformations: Literature review

Echocardiographic features and outcome of restrictive foramen ovale in fetuses with and without cardiac malformations: Literature review

Longitudinal functional assessment of atrial M‐mode in dextro‐ transposition of the great arteries fetus may help to predict the necessity for urgent neonatal Rashkind procedure

Functional assessment of atrial wall excursion and foramen ovale flap tracings in 3rd trimester as predictor of short-term hemodynamic stability in congenital heart defects fetuses

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