Routine third trimester fetal cardiac evaluation: time for consideration

Open access

Abstract

Most heart defects form between 4 and 6 weeks after fertilization. The detection rate is still growing. Despite significant progress in prenatal diagnosis some cases still go undetected. We present two cases of similar defects: prenatally detected and undetected, both presenting with a normal four chamber view in mid-pregnancy. We compared the follow-up of both neonates along with sustained health and economic consequences. The dynamics of the development of heart defects during prenatal life suggests the legitimacy to perform additional, late echocardiography exams (35-38 weeks of gestation)

If the inline PDF is not rendering correctly, you can download the PDF file here.

  • 1. Respondek-Liberska Maria. 1998. Echokardiografia I kardiologia płodu [Echokardiography and prenatal cardiology]. Gdańsk: Makmed

  • 2. 2 Cunningham Cliff. 1994. Dzieci z zespołem Downa. Poradnik dla rodziców. Warszawa: Wydawnictwa Szkolne i Pedagogiczne transl. by M Pawlak-Rogala second ed.

  • 3. Stratford Brian. 1993. Zespół Downa - przeszłość teraźniejszość i przyszłość. Warszawa: PZWL transl.by E Zdzienicka B Mroziak

  • 4. Prusiński Antoni. 2007. Neurologia praktyczna. Warszawa: PZWL 3rd ed.

  • 5. Hourdin G. 1975. Nie zawinione nieszczęście. Warszawa: Pax transl. by I. Dewitz

  • 6. Hartge DR J Weichert M Krapp U Germer U GembruchR Axt-Fliedner. 2011. “Results of early foetal echocardiography and cumulative detection rate of congenital heart disease”. Cardiol Young. 21 (5): 505-517

  • 7. Volpe P V De Robertis G Campobasso A Tempesta G Volpe G Rembouskos. 2012. “Diagnosis of congenital heart disease by early and second-trimester fetal echocardiography”. J Ultrasound Med 31(4): 563-568

  • 8. Kaczmarek P M Respondek-Liberska D Borowski M Wielgoś B Czuba P Oszukowski. 2007. “Assessment of fetal circulation in the late first trimester: preliminary study”. Ginekol Pol 78 (11): 861-864

  • 9. Respondek-Liberska Maria. 2006. Kardiologia prenatalna dla położników I kardiologów dziecięcych [Prenatal cardiology for obstetricians & pediatric cardiologists]. Lublin: Czelej

  • 10. Respondek-Liberska Maria.2011. Atlas wad serca u płodu. [Atlas of fetal heart defects]. Łódź: Adi Art

  • 11. Respondek-Liberska Maria. 2004. Basic fetal heart examination (4th volume). Łódź: ADI Art

  • 12. Gottliebson WM WL Border CM Franklin RA Meyer EC Michelfelder. 2006. “Accuracy of fetal echocardiography: a cardiac segment-specific analysis”. Ultrasound Obstet Gynecol 28 (1): 15-21

  • 13. Abu-Rustum RS L Daou SE Abu-Rustum. 2010. “Role of ultrasonography in early gestation in the diagnosis of congenital heart defects”. J Ultrasound Med. 29 (5): 817-821

  • 14. Plesinac S M Terzic B Stimec D Plecas. 2007. “Value of fetal echocardiography in diagnosis of congenital heart disease in a Serbian university hospital”. Int J Fertil Womens Med. 52 (2-3): 89-92

  • 15. Słodki M J Rychik T Moszura K Janiak M Respondek-Liberska. 2009. “Measurement of the great vessels in the mediastinum could help distinguish true from false-positive coarctation of the aorta in the third trimester”. J Ultrasound Med 28 (10):1313-1317

  • 16. Kołcz J J Skalski. 2012. “HLHS - current problemes”. Prenat Cardio 2(2): 34-37 suppl. [Polish]

  • 17. Carvalho JS LD Allan R Chaoui JA Copel GR Devore K Hecher W Lee H Munoz D Paladini B Tutschek S Yagel. 2013. “ISUOG Practice Guidelines (updated): sonografic screening examination of the fetal heart”. Ultrasound Obstet Gynecol 41:348-359

  • 18. Słodki M M Respondek-Liberska. 2013. „Hypoplastic left heart syndrome at the tertiary fetal cardiac center: as planned urgent or severest congenital heart disease? Prenatal classification for obstetricians and neonatologists”. Prenat Cardio 3(4): 23-27

  • 19. Słodki M J Szymkiewicz-DangelJ A Włoch B Radzymińska-Chruściel A Siwińska M Respondek- Liberska. 2013. „Wybrane dane z Ogólnopolskiego Rejestru Patologii Kardiologicznych u Płodu za rok 2012. Quo vadis?”. Prenat Cardio 3 (1):5-9

  • 20. Kordjalik P M Respondek-Liberska. 2013. „HLHS w oparciu o Ogólnopolski Rejestr Patologii Kardiologicznych u Płodu www.orpkp.pl”. Prenat Cardio 3 (3):18-21

  • 21. Kordjalik P B Radzymińska-Chruściel M Słodki A Włoch J Szymkiewicz- Dangel M Respondek-Liberska Z Tobota. 2015. “The Polish National Registry for Fetal Cardiac Pathology (www.orpkp.pl) - selected data analysis for 2013 and 2014 and comparison with data from 2004 to 2012. Prenat Cardio 5 (1): 6-12

  • 22. Respondek-Liberska M. 2008. “Role of prenatal cardiac evaluation in perinatal care”. Życie i płodność (4):25-34

  • 23. Respondek-Liberska M J Dangel A Włoch. 2006. „Certyfikat umiejętności skriningowego badania serca płodu (podstawowy) Sekcji Echokardiografii i Kardiologii Prenatalnej Polskiego Towarzystwa Ultrasonograficznego”. Ultrasonografia 25:82-86

  • 24. Turner CG W Tworetzky LE Wilkins-Haug RW Jennings. 2009. “Cardiac anomalies in the fetus”. Clin. Perinatol. 36(2):439-449

  • 25. Dempsey MA FM Breathnach M Geary. 2010. “Congenital anomalies: Impact of prenatal diagnosis”. Ir Med J 103:88-89

  • 26. Strzelecka I J Moll K Kornacka A Zieliński M Respondek-Liberska. 2013. “Do evolving fetal heart defects pose a separate clinical problem?”. Prenat Cardio 3 (4): 9-14

  • 27. Santos MA VM Azevedo. 2002. “Neonate aortic stenosis: importance of myocardial perfusion in prognosis”. Arq Bras Cardiol.79:245-255

  • 28. Wieczorek A A Żarkowska B Radzymińska-Chruściel P Kaczmarek P Oszukowski E Gulczyńska I Maroszyńska T Moszura A Sysa M Respondek- Liberska. 2008. “Critical aortic stenosis - prenatal detection and perinatal management in tertiary center”. Polish Cardiology Review 10 (1):78-84

  • 29. Respondek-Liberska M K Szaflik G Krasomski P Oszukowski J Wilczyński A Sysa K Janiak. 2006. “Procedures on 1st day of postnatal life in prenatal diagnosis of critical aortic stenosis as a chance for newborn's survival”. Polsh Cardiology Review 8 (2)

  • 30. McElhinney DB W Tworetzky JE Lock. 2010. “Current status of fetal cardiac intervention”. Circulation 121:1256-1263

  • 31. Freud LR A Moon-Grady MC Escobar-Diaz N L Gotteiner L T Young D B McElhinney W Tworetzky. 2015. “Low rate of prenatal diagnosis among neonates with critical aortic stenosis: insight into the natural history in utero”. Ultrasound in Obstetrics & Gynecology 45 (3): 326-332

  • 32. Kipps AK C Fenille A Azabie J Hoffman S Tabbutt M Brook AJ Moon- Grady. 2011. “Prenatal diagnosis of hypoplastic left heart syndrome in current era”. Am J Cardiol 108:421-427

  • 33. Respondek-Liberska M A Polaczek M Słodki K Janiak P Dryżek J Moll J Moll. 2012. “Selected clinical problems of 56 fetuses and 38 neonates with critical aortic stenosis”. Prenat Cardio 2 (1): 10-16. [Polish]

  • 34. Szymkiewicz-Dangel J M Dębska A Koleśnik P Kretowicz A Sękowska R Dębski. 2012. “Effective prenatal valvuloplasty - new era in Polish prenatal cardiology”. Prenat Cardio 2 (2): 16-20. suppl. [Polish]

  • 35. Dubiel M K Moszczyńska P Dryżek P Oszukowski M Respondek-Liberska. 2012. “Prenatal Critical Aortic Stenosis - two case reports with good outcome”. Prenat Cardio 2 (1): 17-24. [Polish]

Search
Journal information
Metrics
All Time Past Year Past 30 Days
Abstract Views 0 0 0
Full Text Views 205 89 3
PDF Downloads 98 45 1