keyword
https://read.qxmd.com/read/37965404/the-burden-of-neonatal-referrals-on-a-pediatric-cardiology-service-a-local-center-experience
#21
JOURNAL ARTICLE
Walaa S Al Maddallah, Yasser A Bhat, Abdulrahman Al Mesned, Abdullah Al Qwaee, Mohammad Ahmad Hassan, Ali Al Akhfash
BACKGROUND: Congenital heart disease (CHD) is a common occurrence in live births, with some exhibiting critical congenital heart disease; therefore, cardiology services should be available around the clock to ensure timely diagnosis and management. This study aims to describe the workload and the need for pediatric cardiac services in a maternity hospital for newborn referrals. Moreover, the study describes the indications for neonatal cardiology consultations. METHODS: The prospective cohort study was conducted over four months, from January to April 2022, in the Prince Sultan Cardiac Center Al Qassim region of Saudi Arabia...
October 2023: Curēus
https://read.qxmd.com/read/37964108/mitral-valve-abnormalities-associated-with-single-ventricle-palliation-cardiac-death-or-transplant-in-fetuses-with-postnatally-confirmed-coarctation-of-the-aorta
#22
JOURNAL ARTICLE
Alex J Foy, Jonathan H Soslow, Ann L Kavanaugh-McHugh, Stacy A S Killen
Predicting if a fetus with borderline left heart structures and coarctation of the aorta (CoA) will require single ventricle palliation (SVP) is challenging, partly due to the limitations of fetal echocardiography in defining valvar abnormalities. Fetal echocardiographic findings predictive of SVP, particularly in relation to the mitral valve (MV), are not well defined. We performed a retrospective review of fetuses with postnatally confirmed CoA from 2010 to 2020. Fetuses with complex congenital heart disease or unequivocal hypoplastic left heart syndrome were excluded...
November 14, 2023: Pediatric Cardiology
https://read.qxmd.com/read/37947364/prospective-evaluation-of-high-titer-autoantibodies-and-fetal-home-monitoring-in-the-detection-of-atrioventricular-block-among-anti-ssa-ro-pregnancies
#23
JOURNAL ARTICLE
Jill P Buyon, Mala Masson, Caroline G Izmirly, Colin Phoon, Ruben Acherman, Elena Sinkovskaya, Alfred Abuhamad, Majd Makhoul, Gary Satou, Whitnee Hogan, Nelangi Pinto, Anita Moon-Grady, Lisa Howley, Mary Donofrio, Anita Krishnan, Homa Ahmadzia, Stephanie Levasseur, Erin Paul, Sonal Owens, Kristopher Cumbermack, Jyothi Matta, Gary Joffe, Christopher Lindblade, Caitlin Haxel, Katherine Kohari, Joshua Copel, James Strainic, Tam Doan, Karla Bermudez-Wagner, Conisha Holloman, Shreya S Sheth, Stacy Killen, Theresa Tacy, Michelle Kaplinski, Lisa Hornberger, Philip M Carlucci, Peter Izmirly, Nicola Fraser, Robert M Clancy, Bettina F Cuneo
OBJECTIVE: This prospective study of pregnant patients, Surveillance To Prevent AV Block Likely to Occur Quickly (STOP BLOQ), addresses the impact of anti-SSA/Ro titers and utility of ambulatory monitoring in the detection of fetal second-degree atrioventricular block (AVB). METHODS: Women with anti-SSA/Ro autoantibodies by commercial testing were stratified into high and low anti-52-kD and/or 60-kD SSA/Ro titers applying at-risk thresholds defined by previous evaluation of AVB pregnancies...
November 10, 2023: Arthritis & Rheumatology
https://read.qxmd.com/read/37929767/patterns-of-aortic-dilation-in-tetralogy-of-fallot-an-analysis-of-100-fetal-echocardiograms-compared-with-matched-controls
#24
JOURNAL ARTICLE
Minnie N Dasgupta, Michelle A Kaplinski, Charitha D Reddy, R Thomas Collins
Background Although aortic dilation is common in tetralogy of Fallot (TOF), its progression and risk of dissection are not well understood. The mechanism of dilation is primarily attributed to increased flow in utero; an alternative is unequal septation of the truncus arteriosus resulting in a larger aorta and inherently hypoplastic pulmonary artery (PA). If the latter is true, we hypothesize the aorta to PA ratio in TOF is stable throughout gestation, and sums of great artery dimensions are similar to controls...
November 7, 2023: Journal of the American Heart Association
https://read.qxmd.com/read/37923636/echocardiographic-characteristics-and-clinical-outcomes-in-fetuses-with-pulmonary-stenosis-or-pulmonary-atresia-with-intact-ventricular-septum
#25
JOURNAL ARTICLE
Chengcheng Pang, Yingyu Wang, Junjun Shen, Liuqing Yang, Yufen Li, Wei Pan
OBJECTIVE: To summarize echocardiographic characteristics of the anatomy and hemodynamic and clinical outcomes in fetuses with isolated pulmonary stenosis (PS) or pulmonary atresia with intact ventricular septum (PA/IVS). METHODS: This was a single-center retrospective study of fetuses with isolated PS or PA/IVS. Echocardiographic variables and clinical outcomes after delivery were evaluated and compared. RESULTS: Between 2016 and 2021, 115 livebirths with isolated PS or PA/IVS were included...
October 20, 2023: Pediatrics and Neonatology
https://read.qxmd.com/read/37876945/three-dimensional-spatiotemporal-imaging-correlation-in-the-diagnosis-of-isolated-infracardiac-total-anomalous-pulmonary-venous-connection-in-fetal-life
#26
JOURNAL ARTICLE
Mani Ram Krishna, Usha Nandhini Sennaiyan
Total anomalous pulmonary venous connection (TAPVC) is a critical congenital heart disease which is often missed on prenatal echocardiography because of the decreased pulmonary blood flow in fetal life. Improvement in technology has resulted in increasing prenatal diagnosis of this condition. We report a foetus with infra cardiac TAPVC in whom prenatal diagnosis was facilitated by the use of STIC technology.
2023: Annals of Pediatric Cardiology
https://read.qxmd.com/read/37855630/reference-values-for-fetal-cardiac-dimensions-volumes-ventricular-function-and-left-ventricular-longitudinal-strain-using-doppler-ultrasound-gated-cardiac-magnetic-resonance-imaging-in-healthy-third-trimester-fetuses
#27
JOURNAL ARTICLE
Prashant K Minocha, Erin K Englund, Richard M Friesen, Takashi Fujiwara, Sarah A Smith, Mariana L Meyers, Lorna P Browne, Alex J Barker
BACKGROUND: Recent advances in hardware and software permit the use of cardiac MRI of late gestation fetuses, however there is a paucity of MRI-based reference values. PURPOSE: To provide initial data on fetal cardiac MRI-derived cardiac dimensions, volumes, ventricular function, and left ventricular longitudinal strain in healthy developing fetuses >30 weeks gestational age. STUDY TYPE: Prospective. POPULATION: Twenty-five third trimester (34 ± 1 weeks, range of 32-37 weeks gestation) women with healthy developing fetuses...
October 19, 2023: Journal of Magnetic Resonance Imaging: JMRI
https://read.qxmd.com/read/37817395/fetal-circulatory-physiology-and-brain-development-in-complex-congenital-heart-disease-a-multi-modal-imaging-study
#28
JOURNAL ARTICLE
Stephan Juergensen, Jing Liu, Duan Xu, Yili Zhao, Anita J Moon-Grady, Orit Glenn, Patrick McQuillen, Shabnam Peyvandi
OBJECTIVE: Fetuses with complex congenital heart disease have altered physiology, contributing to abnormal neurodevelopment. The effects of altered physiology on brain development have not been well studied. We used multi-modal imaging to study fetal circulatory physiology and brain development in hypoplastic left heart syndrome (HLHS) and d-transposition of the great arteries (TGA). METHODS: This prospective, cross-sectional study investigated individuals with fetal congenital heart disease and controls undergoing fetal echocardiography and fetal brain MRI...
October 10, 2023: Prenatal Diagnosis
https://read.qxmd.com/read/37778338/utility-of-the-angle-between-the-right-aortic-arch-and-first-branch-for-detecting-double-aortic-arch-via-fetal-echocardiography
#29
JOURNAL ARTICLE
Masayoshi Mori, Yoichiro Ishii, Kunihiko Takahashi, Yuka Hayashida, Takuya Fujisaki, Kumiyo Matsuo, Dai Asada, Hisaaki Aoki, Futoshi Kayatani
INTRODUCTION: The presence of a double aortic arch (DAA) is manifested by compressive symptoms, requiring surgery. DAA cases are classified as either complete or incomplete type. DAA and a right aortic arch with mirror image branching (mRAA) have a similar configuration to the first branch artery. The first branch of the mRAA is the left brachiocephalic artery, which appears to be the same as that of an incomplete DAA due to blood flow interruption. The present retrospective study aimed to evaluate the differences between DAA and mRAA by fetal echocardiography...
2024: Fetal Diagnosis and Therapy
https://read.qxmd.com/read/37775344/commentary-on-the-2023-guidelines-and-recommendations-for-performance-of-the-fetal-echocardiogram-an-update-from-the-american-society-of-echocardiography
#30
EDITORIAL
Robert M Ricketts, Christian A Refakis, James A DiNardo
No abstract text is available yet for this article.
December 2023: Journal of Cardiothoracic and Vascular Anesthesia
https://read.qxmd.com/read/37722557/prenatal-brain-maturation-is-delayed-in-neonates-with-congenital-diaphragmatic-hernia
#31
JOURNAL ARTICLE
Sandy Johng, Daniel J Licht, Holly L Hedrick, Natalie Rintoul, Rebecca L Linn, Juliana S Gebb, Rui Xiao, Shavonne L Massey
OBJECTIVE: To assess brain development in fetuses with congenital diaphragmatic hernia (CDH) using a fetal Total Maturation Score (fTMS). STUDY DESIGN: This is a retrospective cohort study using data from a single-center clinical registry. Neonates with an antenatal diagnosis of CDH between 2014 and 2020 and prenatal brain magnetic resonance imaging (MRI) (n = 48) were included. We compared our study sample with historical healthy controls (n = 48)...
January 2024: Journal of Pediatrics
https://read.qxmd.com/read/37717568/fetal-thymus-size-at-19-to-22-weeks-of-gestation-a-possible-marker-for-the-prediction-of-low-birth-weight
#32
JOURNAL ARTICLE
Julia Maria Kim, Kathrin Oelmeier, Janina Braun, Kerstin Hammer, Johannes Steinhard, Helen Ann Köster, Raphael Koch, Walter Klockenbusch, Ralf Schmitz, Mareike Möllers
INTRODUCTION: The purpose was to compare thymus size measured during second trimester screening of fetuses who were subsequently small for gestational age at birth (weight below 10th percentile, SGA group) with fetuses with normal birth weight (control group). We hypothesized that measuring the fetal thymic-thoracic ratio (TT ratio) might help predict low birth weight. METHODS: Using three-vessel view echocardiograms from our archives, we measured the anteroposterior thymus size and the intrathoracic mediastinal diameter (IMD) to derive TT ratios in the SGA (n=105) and control groups (n=533) between 19+0 and 21+6 weeks of gestation...
September 15, 2023: Fetal Diagnosis and Therapy
https://read.qxmd.com/read/37685293/the-influence-of-maternal-condition-on-fetal-cardiac-function-during-the-second-trimester
#33
JOURNAL ARTICLE
Shifa Yao, Tian Yang, Xiaoxiao Kong, Yuanyuan Dang, Ping Chen, Mingli Lyu
OBJECTIVE: Maternal health has a direct, profound and lasting effect on the formation and development of the fetal cardiovascular system. The aim of this research was to find whether maternal age, BMI hypertension (GH) or gestational diabetic mellitus (GDM) would affect fetal cardiac function in the second trimester. METHOD: 329 mothers who had a fetal echocardiogram examination at the International Peace Maternity & Child Health Hospital of China Welfare Institute, Shanghai, China, from 1 January 2020 to 30 April 2020 were enrolled at the gestational age of 21 to 26 weeks (mean 22...
August 25, 2023: Diagnostics
https://read.qxmd.com/read/37674731/mitral-valve-abnormalities-associated-with-single-ventricle-palliation-cardiac-death-or-transplant-in-fetuses-with-postnatally-confirmed-coarctation-of-the-aorta
#34
Alex J Foy, Jonathan H Soslow, Ann L Kavanaugh-McHugh, Stacy A S Killen
Introduction: Predicting if a fetus with borderline left heart structures and coarctation of the aorta (CoA) will require single ventricle palliation (SVP) is challenging, partly due to the limitations of fetal echocardiography in defining valvar abnormalities. Fetal echocardiographic findings predictive of SVP, particularly in relation to the mitral valve (MV), are not well defined. Methods: We performed a retrospective review of fetuses with postnatally confirmed CoA from 2010 to 2020. Fetuses with complex congenital heart disease or unequivocal hypoplastic left heart syndrome were excluded...
August 23, 2023: Research Square
https://read.qxmd.com/read/37665504/interaction-between-ozone-and-paternal-smoking-on-fetal-congenital-heart-defects-among-pregnant-women-at-high-risk-a-multicenter-maternal-fetal-medicine-study
#35
JOURNAL ARTICLE
Huan Wang, Yan-Ping Ruan, Sheng Ma, Ya-Qi Wang, Xiao-Yu Wan, Yi-Hua He, Jing Li, Zhi-Yong Zou
BACKGROUND: Evidence remains limited on the association between maternal ozone (O3 ) exposure and congenital heart defects (CHDs) in offspring, and few studies have investigated the interaction and modification of paternal smoking on this association. METHODS: Using a sample including pregnant women at high risk of fetal CHD (with metabolic disease, first-trimester viral infection, family history of CHD, etc.) from a maternal-fetal medicine study covering 1313 referral hospitals in China during 2013-2021, we examined the associations between maternal O3 exposure during 3-8 weeks of gestational age and fetal CHD in offspring and investigated the interaction and modification of paternal smoking on this association...
September 4, 2023: World Journal of Pediatrics: WJP
https://read.qxmd.com/read/37529930/prenatal-diagnosis-of-myhre-syndrome-with-a-heterozygous-pathogenic-variant-in-smad4-gene-presented-with-thick-nuchal-translucency-and-cardiac-abnormalities
#36
Pui Wah Hui, Yin Kwan Mok, Ho Ming Luk, Sandy Leung Kuen Au, Eunice Yuen Ting Lau, Brian Chung, Anita Sik Yau Kan
Prenatal testing was performed in a 39-year-old Chinese pregnant woman referred for increased nuchal translucency measuring 5.7 mm. Non-invasive prenatal testing and SNP array study on amniotic fluid samples were normal. Whole exome sequencing (WES) was initiated further as the fetus had pericardial effusion of 1.2 mm, thickened myocardium over the right ventricular lateral wall and aberrant right subclavian artery. A detailed fetal echocardiogram also revealed persistent left superior vena cava and dilated coronary sinus at 20 weeks...
September 2023: Prenatal Diagnosis
https://read.qxmd.com/read/37489851/prenatal-detection-of-congenital-heart-disease-recent-experience-across-the-state-of-arizona
#37
JOURNAL ARTICLE
Donald Mattia, Chelsea Matney, Sophie Loeb, Morgan Neale, Christopher Lindblade, Ericka Scheller McLaughlin, Rashmi Rao
OBJECTIVE: To determine the prenatal detection rate (PDR) of congenital heart disease (CHD) in Arizona as well as describe various factors that may influence detection rates. METHODS: This was a retrospective chart review using the Society of Thoracic Surgeons and Phoenix Children's Fetal Cardiology databases. We included all cases of CHD requiring surgery <1 year of age between 2013 and 2018. A total of 1137 patients met the criteria, and various demographic, socioeconomic, and patient outcome data were collected...
July 25, 2023: Prenatal Diagnosis
https://read.qxmd.com/read/37485827/homogenous-access-to-fetal-cardiac-care-in-a-heterogeneous-state
#38
JOURNAL ARTICLE
Christina Ronai, Laura Garcia Godoy, Erin Madriago
BACKGROUND: Timely prenatal diagnosis of CHD allows families to participate in complex decisions and plan for the care of their child. This study sought to investigate whether timing of initial fetal echocardiogram and the characteristics of fetal counselling were impacted by parental socio-economic factors. METHODS: Retrospective chart review of fetal cardiac patients from 1 January, 2017 to 31 December, 2018. We reviewed gestational age at first fetal echo, maternal age and ethnicity, zip code, rurality index, and hospital distance...
July 24, 2023: Cardiology in the Young
https://read.qxmd.com/read/37351603/utility-of-screening-fetal-echocardiograms-at-a%C3%A2-single-institution-following-normal-obstetric-ultrasound-in-fetuses-with-down-syndrome
#39
JOURNAL ARTICLE
Kacy Taylor, Casey Lovelace, Bernadette Richards, Stephanie Tseng, Oluseyi Ogunleye, Clifford L Cua
Fetal echocardiograms (F-echo) are recommended in all pregnancies when the fetus has Down syndrome (DS) even if there was a prior obstetric scan (OB-scan) that was normal. The utility of a screening F-echo in this high-risk population when an OB-scan is normal is unknown. Goal of this study was to evaluate if any diagnosis of a critical congenital heart disease (CHD) was missed in a fetus with DS who had a normal OB-scan. Secondary goal was to determine if any CHD was missed postnatally when an OB-scan was read as normal...
June 23, 2023: Pediatric Cardiology
https://read.qxmd.com/read/37340539/a-rare-case-of-isolated-right-atrial-enlargement-and-tbx5-mutation-associated-with-holt-oram-syndrome
#40
Sandra D Kikano, Wubishet Belay, Ann Kavanaugh-McHugh
Holt Oram syndrome or atriodigital dysplasia is commonly associated with cardiac malformations, most often with defects of the muscular septum. We describe the case of a fetus referred for fetal cardiology evaluation in the setting of right atrial enlargement without tricuspid valve abnormalities with small muscular VSD's, and without other significant cardiac lesions. On serial fetal echocardiograms, isolated right atrial enlargement was persistent as was relative fetal bradycardia without apparent AV block or other signs of abnormal conduction...
June 20, 2023: Prenatal Diagnosis
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