Fetal echocardiogram

Gabrielle T Lemire, Éliane Beauregard-Lacroix, Philippe M Campeau, Stefan Parent, Marjolaine Roy-Beaudry, Dorothée Dal Soglio, Andrée Grignon, Françoise Rypens, Sandrine Wavrant, Anne-Marie Laberge, Marie-Ange Delrue
Our objectives were to describe fetal cases of vertebral defects (VD), assess the diagnostic yield of fetal chromosomal analysis for VD and determine which investigations should be performed when evaluating fetal VD. We performed a retrospective chart review for fetuses with VD seen between 2006 and 2015. Cases were identified from CHU Sainte-Justine's prenatal clinic visits, postmortem fetal skeletal surveys, and medical records. Cases with neural tube defects were excluded. Sixty-six fetuses with VD were identified at a mean gestational age of 20 weeks...
December 27, 2019: American Journal of Medical Genetics. Part A
Shuang Gao, Jiancheng Han, Shaomei Yu, Yong Guo, Yanping Ruan, Yuwei Fu, Xiaoyan Hao, Xin Wang, Siyu Wang, Xiaoxue Zhou, Jianfeng Shang, Ye Zhang, Tianjing Li, Xiuxiu Hao, Yihua He
Objective: Although studies have compared fetal echo results with autopsy findings, investigations that compared multiple categories of congenital heart disease (CHD) are lacking. This study, therefore, aimed to compare fetal echocardiographic diagnoses with cardiac autopsy findings and evaluate the diagnostic accuracy of fetal echocardiography (FE). Methods: One hundred seventy-one specimens from fetuses diagnosed with CHD were collected after termination of pregnancy, and fetal autopsies were performed. FE and autopsy diagnoses were compared and the degree of their correspondence was categorized as "complete agreement" (FE results were in accordance with autopsy findings), "minor discrepancies" (autopsies verified the main FE diagnoses but added and/or revised some minor information), or "discordance" (autopsy findings were different from the primary diagnoses of FE)...
December 2, 2019: Journal of Maternal-fetal & Neonatal Medicine
Sandra Terroba Seara, Ignacio Oulego Erroz, Carlos Lobete Prieto, Paula Alonso Quintela
Premature closure of the foramen ovale (FO) or intrauterine restrictive FO is a rare entity of unknown etiology. This pathology is associated with an elevated risk of pulmonary hypertension, which can cause congestive heart failure with hydrops and fetal death. Patients with restrictive intrauterine FO may develop left ventricle diastolic dysfunction and pulmonary edema. A newborn with increased right cavities in the prenatal ultrasound is presented. In postnatal echocardiogram, dilatation of right cavities was confirmed with pulmonary hypertension in the systemic range and immobile interatrial septum with closed FO...
December 1, 2019: Archivos Argentinos de Pediatría
Rahul Gupta, Purva Ranchal, Joseph Harburger
Mechanical valve thrombosis is life-threatening complication especially in pregnant patients. The optimal anticoagulation regimen is still not certain as there are different fetal and maternal risks associated with anticoagulation. A 37-year-old woman with a history of rheumatic heart disease with a mechanical mitral valve replacement 13 years prior presented to the hospital with dyspnea on mild exertion associated with orthopnea for three days. She was nine weeks pregnant, she had been on warfarin prior to pregnancy, and was switched to low molecular weight heparin (LMWH) in her 6th week of pregnancy...
September 10, 2019: Curēus
Maria Giovanna Russo, Annapaola Cirillo, Gabriele Rinelli, Ugo Vairo, Silvia Favilli, Antonella Moreo, Stefano Domenicucci, Michele Massimo Gulizia, Domenico Gabrielli
Echocardiographic quantification is crucial for the diagnosis and management of patients with acquired and congenital heart disease (CHD). In neonatal and pediatric age, the echocardiogram begins with subxiphoid, or subcostal, imaging instead of left parasternal views. This allows for the determination of visceral situs (site or location) at the beginning of an examination. Regardless of where the examination starts, the segmental approach is used to describe all of the major cardiovascular structures in sequence...
November 2019: Giornale Italiano di Cardiologia
Badr Slioui, Achraf Zaimi, Latifa Chat
Congenital malformations of the aortic arches are a heterogeneous group of diseases associated with developmental disorders of the primitive branchial arches during fetal life. The coarctation of the aorta is a common congenital vascular malformation which is a congenital narrowing of the aortic isthmus, a segment of the aorta between the left subclavian artery and the ductus arteriosus. The interruption of the aortic arch is considered by some authors as an extreme coarctation of the aorta, characterized by discontinuity between ascending and descending aorta...
2019: Pan African Medical Journal
Amit Saxena, Peter M Izmirly, Rebecca P Bomar, Rachel Shireen Golpanian, Deborah M Friedman, Ruth Eisenberg, Mimi Y Kim, Jill P Buyon
OBJECTIVES: Cardiac manifestations of neonatal lupus (NL) have been associated with significant morbidity and mortality; however, there is minimal information on long-term outcomes of affected individuals. This study was initiated to evaluate the presence of and the risk factors associated with cardiac dysfunction in NL after birth in multiple age groups to improve counselling, to further understand pathogenesis and to provide potential preventative strategies. METHODS: Echocardiogram reports were evaluated in 239 individuals with cardiac NL: 143 from age 0-1 year, 176 from age >1-17 years and 64 from age >17 years...
October 31, 2019: Annals of the Rheumatic Diseases
Yuxin Gong, Yingying Zhang, Haogang Zhu, Jing Lv, Qian Cheng, Hongjia Zhang Yihua He, Shuliang Wang
Fetal congenital heart disease (FHD) is a common and serious congenital malformation in children. In Asia, FHD birth defect rates have reached as high as 9.3‰. For the early detection of birth defects and mortality, echocardiography remains the most effective method for screening fetal heart malformations. However, standard echocardiograms of the fetal heart, especially four-chamber view images, are difficult to obtain. In addition, the pathophysiological changes in fetal hearts during different pregnancy periods lead to ever-changing twodimensional fetal heart structures and hemodynamics, and it requires extensive professional knowledge to recognize and judge disease development...
October 7, 2019: IEEE Transactions on Medical Imaging
Bettina F Cuneo, Christina A Olson, Caitlin Haxel, Lisa Howley, Amy Gagnon, D Woodrow Benson, Alexander M Kaizer, J Fred Thomas
OBJECTIVE: To evaluate a fetal telecardiology program in a medically underserved area. METHODS: We conducted a prospective case series of pregnant women at 18-38 weeks of gestation with risk factors for fetal congenital heart disease. Obstetric ultrasonographers performed fetal echocardiograms (local site) that were read in real time. The results were given to the mother by a fetal cardiologist at a children's hospital 243 miles and two mountain passes away (distant site)...
October 8, 2019: Obstetrics and Gynecology
Amy Cooper, Kacy Sisco, Carl H Backes, Marc Dutro, Ruth Seabrook, Stephanie L Santoro, Clifford L Cua
The objective of this study is to evaluate if the diagnosis of a complex congenital heart disease (CHD) was missed in a patient with Down syndrome (DS) who had a fetal echocardiogram that was read as normal. Secondary goal of this study was to determine if any CHD was missed postnatally when a fetal echocardiogram was read as normal. A retrospective chart review of children with DS at Nationwide Children's Hospital whose birthdates were between 1/1/2010 and 12/31/2017 was performed. Patients were included if they had a fetal echocardiogram that was read as normal and also had a postnatal echocardiogram performed...
December 2019: Pediatric Cardiology
S Rakha, H El Marsafawy
BACKGROUND: Advances in fetal echocardiography training among pediatric cardiologists have led to substantial improvements in prenatal detection of congenital heart diseases (CHDs). Nevertheless, diagnostic accuracy varies among centers. Moreover, this subspecialty continues to evolve in developing countries, with limited studies assessing fetal echocardiography sensitivity, specificity, and accuracy in developing countries such as Egypt. SUBJECT AND METHODS: High-risk pregnancies referred for fetal echocardiography from January 2011 to January 2019 were analyzed retrospectively...
September 10, 2019: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
Chase R Cawyer, Spencer G Kuper, Elizabeth Ausbeck, Rachel G Sinkey, John Owen
OBJECTIVE: Evaluate fetal echocardiography's ability to detect critical (lesions requiring immediate neonatal intensive care) congenital heart disease (CHD) after normal anatomic cardiac views on detailed ultrasound. METHODS: Singletons with both a detailed ultrasound at 18 + 0 to 22 + 6 weeks and echocardiogram performed at least 14 days later and at 20 + 0 to 24 + 6 weeks. Cases with cardiac pathology on detailed ultrasound were excluded. Different combinations of cardiac views were described: Basic (four-chamber, outflow tracts), Expanded (plus three-vessel view), and Complete (plus ductal/aortic arches)...
September 9, 2019: Prenatal Diagnosis
Elizabeth L Stockley, Anju Singh, Tarak Desai, Andrew K Ewer
No abstract text is available yet for this article.
November 2019: Archives of Disease in Childhood
Olivia Grubman, Farrah Naz Hussain, Zoe Nelson, Lois Brustman
This is a case report of a 31-year-old primigravida who was diagnosed with an asymptomatic acute parvovirus B19 infection in the second trimester of pregnancy and its suspected association with an increased nuchal translucency (NT) measurement. Parvovirus B19 is a single-stranded DNA virus that is cytotoxic to erythroid progenitor cells, causing inhibition of erythropoiesis. While maternal disease is usually mild, fetal infection can result in spontaneous abortion, aplastic anemia, nonimmune fetal hydrops, and fetal demise...
2019: Case Reports in Obstetrics and Gynecology
Jiancheng Han, Lin Sun, Xiaoyan Gu, Ye Zhang, Yong Guo, Xiaoyan Hao, Ying Zhao, Yihua He
A retroesophageal left brachiocephalic vein (LBCV) is a highly rare anomaly. We retrospectively analyzed 7 cases of a retroesophageal LBCV that were prenatally diagnosed from a database of fetal echocardiogram of 31,356 cases. The 3-vessel view and the long-axis view are the main views for confirming a fetal retroesophageal LBCV. An isolated retroesophageal LBCV is rare, and it is typically associated with congenital heart defects, especially conotruncal defects and a right aortic arch. An isolated fetal retroesophageal LBCV has a good prognosis and does not need surgical treatment...
July 24, 2019: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
Lindsay A Edwards, Alisa Arunamata, Shiraz A Maskatia, Amy Quirin, Shazia Bhombal, Katsuhide Maeda, Theresa A Tacy, Rajesh Punn
This study aimed to evaluate fetal echocardiographic parameters associated with neonatal intervention and single-ventricle palliation (SVP) in fetuses with suspected left-sided cardiac lesions. Initial fetal echocardiograms (1/2002-1/2017) were interpreted by the contemporary fetal cardiologist as coarctation of the aorta (COA), left heart hypoplasia (LHH), hypoplastic left heart syndrome (HLHS), mitral valve hypoplasia (MVH) ± stenosis, and aortic valve hypoplasia ± stenosis (AS). The cohort comprised 68 fetuses with suspected left-sided cardiac lesions (COA n = 15, LHH n = 9, HLHS n = 39, MVH n = 1, and AS n = 4)...
August 2019: Pediatric Cardiology
Pooja H Desai, Priyank J Yagnik, Nancy Ross Ascuitto, Parna Prajapati, Steffan Sernich
Introduction It is uncertain whether the use of selective serotonin-reuptake inhibitors (SSRI) and other anti-depressants during pregnancy is associated with an increased risk of congenital heart disease (CHD) in newborn. There have been various studies showing a number of adverse outcomes, including gestational hypertension, reduced birth weight, altered neonatal pain responses and persistent pulmonary hypertension of the newborn with exposure to anti-depressant medications. There have been very few longitudinal studies showing CHD association with the use of anti-depressant medications...
May 15, 2019: Curēus
Allison Gittens, Mark Gedrich, Meena Khandelwal, Richard Fischer, Pauline Germaine
A fetal growth scan was performed on a 34-year-old Caucasian woman, G4P3, with a history of gestational diabetes diagnosed at 32 weeks gestation. The examination revealed an absence of normal left globe with an echogenic mass in its expected location with a rim of surrounding hypoechoic fluid. The right orbit and globe were normal, and no other structural anomalies were identified. Prior to this examination, the patient had a normal anatomic survey and fetal echocardiogram at 20 weeks, however due to fetal positioning there was limited visualization of the orbits on initial scan...
September 2019: Radiology Case Reports
Manon Gijtenbeek, Maryam R Shirzada, Arend D J Ten Harkel, Dick Oepkes, Monique C Haak
Monochorionic (MC) twins are at an increased risk of developing congenital heart defects (CHDs) compared to singletons and dichorionic twins. The development of acquired CHDs in this specific group of twins is associated with twin-twin transfusion syndrome (TTTS). We performed a systematic review and meta-analysis to provide an overview of the reported birth prevalence of CHDs in liveborn MC twins with and without TTTS. Twelve studies were included in this review. Compared to the reference population, MC twins were 6...
June 24, 2019: Journal of Clinical Medicine
Mark W Russell, Julie S Moldenhauer, Jack Rychik, Nancy B Burnham, Erin Zullo, Samuel I Parry, Rebecca A Simmons, Michal A Elovitz, Susan C Nicolson, Rebecca L Linn, Mark P Johnson, Sunkyung Yu, Matthew G Sampson, Hakon Hakonarson, J William Gaynor
OBJECTIVE: To determine the impact of damaging genetic variation in proangiogenic pathways on placental function, complications of pregnancy, fetal growth, and clinical outcomes in pregnancies with fetal congenital heart defect. STUDY DESIGN: Families delivering a baby with a congenital heart defect requiring surgical repair in infancy were recruited. The placenta and neonate were weighed and measured. Hemodynamic variables were recorded from a third trimester (36...
October 2019: Journal of Pediatrics
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