On outcome of five consecutive pregnancies with heart defects detected in 1st trimester of pregnancy

• Authors: Agnieszka Nawara-Baran , Beata Radzymińska-Chruściel
• Languages of publication: EN

Abstracts

EN

The aim of this study was an analysis of cardiac assessment in the first trimester, their outcomes, and comparison with literature data. Five cases were analysed from the year 2014. The exams were performed between 11-13 + 6 weeks. The analysis confirmed that the detection of CHD in 1 st trimester was possible and was verified by an early fetal echocardiogram. The most common symptoms of abnormal heart images in the early screening assessment were: axis, heart size and color Doppler assessment of the chambers and V sign. The outcome of pregnancies with early detection of fetal heart defects was poor. There was only one surviver

Keywords

EN

pulmonary valve atresia; aortic valve stenosis; fibroelastosis; 1st trimester

• Publisher: De Gruyter Open
• Journal: Prenatal Cardiology
• Year: 2015
• Volume: 5
• Issue: 3
• Pages: 13-17

Dates

published

1 - 9 - 2015

accepted

18 - 9 - 2015

online

30 - 12 - 2015

received

7 - 6 - 2015

Contributors

author

Agnieszka Nawara-Baran

• Volumed Medical Center Krakow
• Fetal Echocardiography Unit, Ujastek Medical Center

author

Beata Radzymińska-Chruściel

• Fetal Echocardiography Unit, Ujastek Medical Center

References

• 1. Nikolaides KH, G Azar, D Byrne, C Mansur, K Marks. 1992. “Fetal nuchal translucency: ultrasound screening for chromosomal defects in first trimester of pregnancy”. BMJ 6831 (304):867-869
• 2. Souka AP, A Pilalis, I Kavalakis, P Antsaklis, N Papantoniou, S Mesogitis, A Antsaklis. 2006. “Screening for major structural abnormalities at the 11- to 14-week ultrasound scan”. American Journal of Obstetrics and Gynecology 194 (2):393-396
• 3. Weisz B, E Pajkrt, E Jauniaux. 2005. “Early detection of fetal structural abnormalities”. Reprod Biomed Online 10 (4): 541-553[Crossref]
• 4. Tennstedt C, R Chaoui, H Korner, M Dietei. 1999. “Spectrum of congenital heart defects and extracardiac malformations associated with chromosomal abnormalities: result of seven year necropsy study”. Heart 82: 31-39
• 5. Dolk H, M Loane, E Garne. 2010. „The prevalence of congenital anomalies in Europe”. Adv Exp Med Biol. 686: 349-64
• 6. Pietryga M.2012. Przewodnik po Rekomendacjach Sekcji Ultrasonografii Polskiego w zakresie przesiewowej diagnostyki ultrasonograficznej w ciążyo przebiegu prawidłowym -2012. Rekomendacje PTG 2-4
• 7. Nicolaides K, P Węgrzyn. 2004. Badanie ultrasonograficzne między 11+0 a 13+6 tygodniem ciąży. Londyn: Fetal Medicine Foundation
• 8. 8.2013. „ISUOG Practice Guidelines: performance of first-trimester”. Ultrasound Obstet Gynecol 41: 102-113[WoS][PubMed]
• 9. Sepulveda W, T Illescas,B Adiego, P Martinez-Ten. 2013. “Prenatal Detection of Fetal Anomalies at the11-to-13-Week Scan-Part I: Brain, Face and Neck”. DSJUOG 7 (4):359-368[Crossref]
• 10. Nawara-Baran A, B Radzymińska-Chruściel, M Respondek-Liberska, K Januszewska, E Malec. 2014. “First trimester diagnosis of Absent Pulmonary Valve (APV): a case report of prenatal treatment with a review of literature and data from The Polish National Registry of Fetal Cardiac Pathology”. Prenat Cardio 14 (3):18-22
• 11. Knafel A, M Wiecheć, A Nocuń, A Basta. 2013. “Transposition of great arteries (d-TGA) in the first trimester- a case report”. Prenat Cardio 10 (3): 22-27
• 12. Hutchinson D,A McBrien, L Howley, Y Yamamoto, A Hirose, T Motan, V Jain, W Savard, LK Hornberger. 2013. “Early First Trimester Fetal Echocardiography: Identification of Cardiac Structures by 2D Imaging and Color Doppler from Six Weeks Gestation”. JACC 61(10)
• 13. Ushacov F. 2015. “Fetal Echokardiography at 11-13 weeks: ISUOG 2015 advanced course”. http://ultrasoundlink.net/.
• 14. Perri T, B Cohen-Sacher, M Hod, M Berant, I MeiznerI,J Bar. 2005. “Risk factors for cardiac malformations detected by fetal echocardiography in a tertiary center”. J Matern Fetal Neonatal Med 17 (2):123-128
• 15. Reddy A, R Yates, O Franklin, I Sullivan, P Pandya. 2007. “Spectrum and outcomes of pregnancies with extra-cardiac malformations in conjunction with fetal cardiac abnormalities”. Ultrasound in Obstetrics & Gynecology 30 (4): 597
• 16. Smythe JF, JA Copel, CS Kleinman. 1992. “Outcome of prenatally detected cardiac malformations”. Am J Cardiol. 69 (17):1471-1474
• 17. Respondek-Liberska M, A Papis, P Oszukowski, G Krasomski, I Maroszyńska, A Chilarski, J Wilczyński. 2008. “Fetal echocardiography in 83 fetuses with omphalocele from Dept. for Diagnoses and Prevention of Fetal Malformations, Research Institute Polish Mother's Memorial Hospital, and Medical University of Lodz, (1999-2006)”. Ginekol Pol 79 (9): 602-611
• 18. Respondek-Liberska M, S Foryś, J Janiszewska-Skorupa, K Szaflik, J Wilczyński, P Oszukowski, G Krasomski, I Maroszyńska, T Biegański, A Kulig, L Jakubowski, A Chilarski. 2008. “Diaphragmatic hernia in Reference Hospital ICZMP”. Ginekol Pol 79:23-30

Identifiers

DOI

10.12847/09153