Prospective diagnosis of 1,006 consecutive cases of congenital heart disease in the fetus

Abstract

A large experience with fetal congenital heart disease allows the spectrum of disease to be described with accuracy and compared with that in infancy. Knowledge of the natural history of heart malformations when they present in the fetus allows accurate counseling to be offered to the parents. If the trend in parental decisions found in this series continues, a smaller number of infants and children with complex cardiac lesions will present in postnatal life.

Fetal echo cardiography: the state of the art of the state of the heart

“…Common as well as very rare anomalies have been detected and reported and in specialized centers up to thousands of prenatally diagnosed congenital heart defects (CHDs) have been seen in the last two decades 65 . During this period not only have we learned how to diagnose these diseases accurately but we have also gained insight into the interesting field of cardiac development.…”

Der Vier-Kammer-Blick in der fetalen Echokardiografie

“…Abzugrenzen ist der isolierte Septum-primum-Defekt von einem erweiterten Sinus coronarius, der meist infolge einer in ihn mündenden links persistierenden oberen Hohlvene auftritt [23]. Atrioventrikuläre Septum-Defekte (AVSD) sind mit 16 -18 % die am häufigsten pränatal diagnostizierten Herzfehler [20,21]. Sie umfassen einen Septum-primum-Defekt, einen hochliegenden Ventrikelseptum-Defekt sowie eine gemeinsame AV-Klappe.…”

“…Anomalien der Trikuspidalklappe machen 6 -12 % der pränatal diagnostizierten Vitien aus [20,21]. Die Trikuspidaldysplasie und die Ebstein'sche Anomalie zeichnen sich durch einen dysplastischen und insuffizienten Trikuspidalklappenapparat aus, wobei die Segel verdickt erscheinen.…”

“…An isolated septum primum defect can be mimicked by a dilated coronary sinus which mostly occurs as a result of the insertion of a left persistent superior vena cava [23]. Atrioventricular septal defects (AVSD) with an incidence of 16 -18 % are the most frequently prenatally identified cardiac defects [20,21]. They encompass a septum primum defect, an inlet ventricular septal defect as well as a common atrioventricular valve.…”

Rastreamento e diagnóstico ecocardiográfico das arritmias e cardiopatias congênitas fetais

“…As cardiopatias congênitas são de etiologia multifatorial e a maioria ocorre em gestações sem fator de risco, constituindo o rastreamento ultrasonográfico a melhor forma de detecção destas malformações antes do nascimento 4,5 . O rastreamento das cardiopatias fetais originou-se na França durante a década de 1980, sendo proposto como suficiente a avaliação rotineira do plano quatro câmaras cardíaco, durante a realização da ultrasonografia obstétrica 6,7 .…”