Cardiology 2013. Part II.

Accession Number: 23474606

Keywords: Arrhythmias, Cardiac/surgery

Balloon Valvuloplasty/methods

Cardiac Catheterization/*methods

Cardiotonic Agents/therapeutic use

Coronary Disease/surgery

Diagnostic Imaging/methods

Endocarditis, Non-Infective/prevention & control

Heart Valve Diseases/diagnosis/etiology/*surgery

*Heart Valve Prosthesis

Heart Valve Prosthesis Implantation/*methods

Humans

Rheumatic Fever/prevention & control

Risk Assessment

Notes: Vahanian, Alec

Alfieri, Ottavio

Andreotti, Felicita

Antunes, Manuel J

Baron-Esquivias, Gonzalo

Baumgartner, Helmut

Borger, Michael Andrew

Carrel, Thierry P

De Bonis, Michele

Evangelista, Arturo

Falk, Volkmar

Iung, Bernard

Lancellotti, Patrizio

Pierard, Luc

Price, Susanna

Schafers, Hans-Joachim

Schuler, Gerhard

Stepinska, Janina

Swedberg, Karl

Takkenberg, Johanna

Von Oppell, Ulrich Otto

Windecker, Stephan

Zamorano, Jose Luis

Zembala, Marian

(ESC)

(EACTS)

ita

Practice Guideline

Italy

2006

2013/03/12 06:00

G Ital Cardiol (Rome). 2013 Mar;14(3):167-214. doi: 10.1714/1234.13659.

URL: http://www.ncbi.nlm.nih.gov/pubmed/23474606

 

 

Reference Type:  Journal Article

Record Number: 901Author: Vaidyanathan, B., Kumar, S., Sudhakar, A. and Kumar, R. K.

Year: 2013

Title: Conotruncal anomalies in the fetus: Referral patterns and pregnancy outcomes in a dedicated fetal cardiology unit in South India

Journal: Ann Pediatr Cardiol

Volume: 6

Issue: 1

Pages: 15-20

Date: Jan

Short Title: Conotruncal anomalies in the fetus: Referral patterns and pregnancy outcomes in a dedicated fetal cardiology unit in South India

Alternate Journal: Annals of pediatric cardiology

ISSN: 0974-2069 (Print)

0974-5149 (Linking)

DOI: 10.4103/0974-2069.107227

PMCID: 3634239

Accession Number: 23626429

Abstract: OBJECTIVE: To describe the referral patterns and pregnancy outcomes of fetuses with conotruncal anomalies (CTA) from a fetal cardiology unit in South India. METHODS: Records of 68 women identified to have diagnosis of CTA on fetal echocardiography (mean gestational age 26.8 +/- 5.9 weeks; range 17-38 weeks) during the period 2008-2011 were reviewed. RESULTS: The most common indication for referral was suspected congenital heart disease during routine antenatal scan (89.7%). The various CTA diagnosed included Tetralogy of Fallot (TOF, 44.1%), Double outlet right ventricle (DORV, 27.9%), Transposition of great vessels (TGA, 8.8%), TOF with pulmonary atresia (TOF-PA, 8.8%), TOF absent pulmonary valve (TOF-APV, 7.4%) and truncus arteriosus (TA, 2.9%). Extra cardiac anomalies were reported in 4 fetuses (7.1%). Pregnancy outcomes included pregnancies not culminating in live-birth (54.4%), delivery at term (41.2%) with 3 patients (4.4%) being lost to follow-up. Proportion of pregnancies not culminating in live-birth lesion wise include: TOF (53.3%), DORV (52.6%), TGA (50%), TOF -APV (80%), TOF-PA (50%), and TA (50%). Twenty-four babies (35.3%) received post-natal cardiac care with 5 (7.4%) undergoing neonatal surgical procedures. Seven babies (10.3%) died in neonatal period, including 2 who underwent surgery. The accuracy of fetal echo was 96.4% for primary lesion and 67.9% for complete segmental diagnosis. CONCLUSIONS: Pre-natal diagnosis of CTA, despite a high diagnostic accuracy, prompted utilization of post-natal tertiary cardiac care in a limited proportion of patients, including those with reparable lesions. Focus in developing countries should shift towards earlier referral, improving awareness about treatment options and a comprehensive evaluation for associated anomalies.

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