Document Detail


The outcome of fetal congenital heart disease.
MedLine Citation:
PMID:  11071379     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Series reporting congenital heart disease detected in utero all indicate a different spectrum and severity of disease than is seen in postnatal series, with a tendency toward more severe disease with a poorer outcome. This is largely because of the manner in which cases are selected for fetal echocardiography. As most forms of heart disease occur in otherwise normal pregnancies with no high risk features, detection of these cases is dependent on the skill of the ultrasonographer performing general obstetric scanning. Although detection of even major malformations seen in the four chamber view, is still less than perfect, it is improving. In the future, it is expected that malformations will be detected in earlier pregnancy and examination will include evaluation of great artery structure. This will give more parents the option of termination of pregnancy in complex disease. Alternatively, in continuing pregnancies, the outcome for the affected neonate will be improved by ideal perinatal care.
Authors:
L D Allan
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Seminars in perinatology     Volume:  24     ISSN:  0146-0005     ISO Abbreviation:  Semin. Perinatol.     Publication Date:  2000 Oct 
Date Detail:
Created Date:  2001-02-07     Completed Date:  2001-03-01     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  7801132     Medline TA:  Semin Perinatol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  380-4     Citation Subset:  IM    
Affiliation:
Department of Pediatric Cardiology, New York Presbyterian Hospital, NY, USA. la48@columbia.edu
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MeSH Terms
Descriptor/Qualifier:
Decision Making
Echocardiography / methods
Female
Heart Defects, Congenital* / ultrasonography
Humans
Pregnancy
Pregnancy Outcome*
Severity of Illness Index
Ultrasonography, Prenatal

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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