Imaging and surgical management of congenital heart diseases

Caro‐Domínguez, Pablo; Secinaro, Aurelio; Valverde, Israel; Fouilloux, Virginie

doi:10.1007/s00247-022-05536-y

Cited by 2 publications

(2 citation statements)

References 38 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Current technological developments in the field of cardiac imaging have allowed a comprehensive understanding of CHD, thus optimizing surgical management [52,53]. Fetal CMR has shown a promising role in the planning of fetal cardiac interventions: in utero balloon dilation of semilunar valves early in the second trimester has been performed with the aim of increasing the chances of achieving a postnatal biventricular circulation [54,55].…”

Section: Application Of Fetal Cmr Imaging In Understanding Chdmentioning

confidence: 99%

“…In these patients, fetal interventions (atrial septostomy or percutaneous aortic valve balloon valvotomy) might invert the progression to univentricular heart physiology. Thus, high-magneticfield CMR (3-7 T) might be considered a promising tool for studying left ventricular myocardial ultrastructure to increase accuracy of patients' selection for surgery and to better establish the right timing for the procedure in order to improve the chances of postnatal surgery [53,54].…”

Section: Future Perspectivesmentioning

confidence: 99%

See 1 more Smart Citation

Utility of Fetal Cardiac Resonance Imaging in Prenatal Clinical Practice: Current State of the Art

Pozza,

Reffo,

Castaldi

et al. 2023

Diagnostics

View full text Add to dashboard Cite

The field of prenatal cardiac imaging has revolutionized the way we understand and manage congenital heart diseases (CHD) in the developing fetus. In the prenatal period, cardiac imaging plays a pivotal role in the diagnostic pathway, from screening to classification and follow-up of CHD. The ability to visualize the fetal heart in utero allows healthcare professionals to detect abnormalities early, thus enabling timely interventions and informed decision-making processes for both the mother and the medical team. Early CHD detection improves preparation for delivery, postnatal care, and postnatal outcomes. Advancements in medical technology and imaging techniques have provided clinicians with insights into the fascinating workings of the fetal heart. Several imaging modalities have proven to be helpful in this field, with echocardiography undoubtedly representing the primary modality for evaluating the fetus. By providing detailed anatomical and functional information, fetal cardiac magnetic resonance (CMR) imaging contributes to better prenatal counseling and enhances the coordination of care between obstetricians, maternal–fetal medicine specialists, and pediatric cardiologists. Shortcomings of fetal CMR are due to technical concerns related to the intrauterine position of the fetus and subsequent challenges to following a standard scan protocol. The aim of this paper was to revise the current state-of-the-art in the field of fetal CMR and its clinical applications and to delve into methods, challenges, and future directions of fetal CMR in prenatal imaging.

show abstract