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2014 | 4 | 4 | 23-27

Article title

Postnatal Outcomes of Children with Prenatally Diagnosed Congenital Heart Disease Combined with Congenital Diaphragmatic Hernia

Content

Title variants

Languages of publication

EN

Abstracts

EN
The primary aim of this study was to determine the predictive value of prenatal ultrasound and echocardiography for prognosis in congenital heart disease (CHD) with coexisting diaphragmatic hernia (DH) in a tertiary care center. Eleven records from the database of the Department for Diagnoses and Prevention of Congenital Malformations, Polish Mother’s Memorial Hospital Research Institute, were reviewed. The mean maternal age was 29,2 ± 5,1 years, and the mean gestational age at the time of diagnosis was 28,4 ± 6,7 weeks. No information was available for children discharged from hospital. Data of eight cases of prenatal DH and complex heart disease from the literature were also analyzed. Three fetuses survived the neonatal period. In each of these, CHD was other than the urgent or critical type, defined as not requiring cardiac surgical intervention in the first day or month of life. Both sets of data collected from our center and the published literature confirmed the unfavorable prognosis for fetuses with severe or critical CHD with coexisting DH.

Publisher

Year

Volume

4

Issue

4

Pages

23-27

Physical description

Dates

published
1 - 12 - 2014
accepted
19 - 11 - 2014
received
27 - 7 - 2014
online
30 - 12 - 2015

Contributors

  • Student’s Prenatal Cardiology Team, Medical University of Łódź, Poland
  • Department of Genetics, Research Hospital Polish Mother’s Memorial Hospital
  • Department of Fetal Cardiology Research Hospital Polish Mother’s Memorial Hospital
  • Department of Fetal Cardiology Research Hospital Polish Mother’s Memorial Hospital
  • Department of Obstetrics & Gynecology Reasearch Hospital Polish Mother's Memorial Hospital
  • Department of Fetal Cardiology Research Hospital Polish Mother’s Memorial Hospital
  • Department of Diagnoses and Prevention of Fetal Malformations Medical University of Łódź

References

  • 1. Noimark L, Sellwood M, Wyatt J, Yates R.: Transposition of the great arteries, ventricular septal defect and diaphragmatic hernia in a fetus: the role of prenatal diagnosis in helping to predict postnatal survival. Prenat Diagn 2000, 20: 924-926
  • 2. Respondek-Liberska M, Foryś S, Janiszewska-Skorupa J, Szaflik K, Wilczyński J, Oszukowski P, Krasomski G, Maroszyńska I, Biegański T, Kulig A, Jakubowski L, Chilarski A.: Problemy diagnostyczne i losy płodów z przepukliną przeponową w ośrodku referencyjnym ICZMP w latach 1994-2006. Ginekol Pol 2008, 79: 23-30
  • 3. Respondek ML, Binotto CN, Smith S, Donnenfeld A, Weil SR, Huhta JC.: Extracardiac anomalies, aneuploidyand growth retardation in 100 consecutive fetal congenital heart defects. Ultrasound Obstet. Gynecol 1994, 4: 272-278
  • 4. Cohen MS, Rychik J, Bush DM, Tian ZY, Howell LJ, Adzick NS, Flake AW, Johnson MP, Spray TL, Crombleholme TM.: Infleunce of congenital heart didease on survival in children with congenital diaphragmatic hernia. J Pediatr 2002, 141 (1): 25-30
  • 5. Migliazza L, Otten C, Xia H, Rodriguez JI, Diez-Padro JA, Tovar JA.Cardiovascular malformations in congenital diaphragmatic hernia: Human and experimental studies. Journal of Pediatric Surgery 1999, 34 (9): 1352-1358
  • 6. Hamrick SEG, Brook MM, Farmer DL.: Fetal surgery for congenital diaphragmatic hernia and pulmonary sequestration complicated by postnatal diagnosis of Transposition of the Great Arteries. Fetal Diagn Ther 2004, 19: 40-42[Crossref]
  • 7. Respondek-Liberska M.: Atlas Wad Serca Płodów, Adi Art, Łódź, 2011
  • 8. Słodki M.: Opracowanie modelu opieki nad ciężarną z wrodzoną wadą serca u płodu na podstawie nowego prenatalnego podziału wad serca. Rozprawa habilitacyjna. Łódź, 2012
  • 9. Lam YH, Tang MH, Yuen ST.: Ultrasound diagnosis of fetal diaphragmatic hernia and complex congenital heart disease at 12 weeks‘ gestation - a case report. Prenat Diagn. 1998, 18 (11):1159-62
  • 10. Fendler W, Piotrowski A.: Przełożenie wielkich naczyń u noworodka z wrodzoną przepukliną przeponową - Opis przypadku. Medycyna Wieku Rozwojowego 2008, 3; 778-781

Document Type

Publication order reference

Identifiers

YADDA identifier

bwmeta1.element.-psjd-doi-10_12847_12143
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