Document Detail


Pulmonary atresia or critical pulmonary stenosis with intact interventricular septum diagnosed in utero: echocardiographic findings and post-natal outcome.
MedLine Citation:
PMID:  15070269     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Survival of neonates with critical pulmonary obstruction depends on cardiac morphology and function but also on proper perinatal management. METHODS: Postnatal outcome of five neonates with critical pulmonary stenosis or pulmonary atresia detected in utero is reported. RESULTS: Right ventricular morphology and ratio between tricuspid and mitral annulus at Fetal Echocardiography were the most important prognostic parameters. Increasing severity of obstruction and of right ventricular hypoplasia was documented in two fetuses. CONCLUSION: Prenatal diagnosis was useful for planning delivery; we hypothesize that it can be of benefit on postnatal outcome. In selected cases, earlier delivery and relief of obstruction could have beneficial effect on prognosis.
Authors:
S Favilli; S Giusti; V Vangi; I Pollini; S Redaelli
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  La Pediatria medica e chirurgica : Medical and surgical pediatrics     Volume:  25     ISSN:  0391-5387     ISO Abbreviation:  Pediatr Med Chir     Publication Date:    2003 Jul-Aug
Date Detail:
Created Date:  2004-04-08     Completed Date:  2005-02-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8100625     Medline TA:  Pediatr Med Chir     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  266-8     Citation Subset:  IM    
Affiliation:
U.O. Cardiologia Pediatrica, Azienda Ospedaliera A. Meyer, Firenze. silviafavilli@virgilio.it
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MeSH Terms
Descriptor/Qualifier:
Female
Follow-Up Studies
Humans
Infant, Newborn
Pregnancy
Prognosis
Pulmonary Atresia / ultrasonography*
Pulmonary Valve Stenosis / ultrasonography*
Ultrasonography, Prenatal*

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