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Published in: Pediatric Cardiology 3/2004

01-06-2004

The Impact of Fetal Echocardiography

Authors: J. P. Kovalchin, N. H. Silverman

Published in: Pediatric Cardiology | Issue 3/2004

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Abstract

Fetal echocardiography has impacted the fetus with congenital heart disease in many important ways. Advances in fetal echocardiography have allowed for more accurate and earlier detection of cardiac abnormalities. In turn, the prenatal diagnosis of cardiac abnormalities has improved the care and outcome of selected fetuses with severe cardiac malformations or arrhythmias. Fetal echocardiography has improved the understanding of the development and evolution of congenital heart disease in utero, and it may serve a role in identifying candidates for prenatal intervention. The prenatal diagnosis of congenital heart disease has allowed for better counseling and preparation of families regarding the anticipated prenatal development of the fetus as well as the expected postnatal management plans and prognosis. This article reviews the impact of fetal echocardiography in these and other areas.
Literature
1.
go back to reference Achiron, R, Glaser, J, Gelernter, I, Hegesh, J, Yagel, S 1992Extended fetal echocardiographic examination for detecting cardiac malformations in low risk pregnancies.Br Med J304671674 Achiron, R, Glaser, J, Gelernter, I, Hegesh, J, Yagel, S 1992Extended fetal echocardiographic examination for detecting cardiac malformations in low risk pregnancies.Br Med J304671674
2.
go back to reference Allan, LD 2000A practical approach to fetal heart scanning.Sem Perinatol24324330 Allan, LD 2000A practical approach to fetal heart scanning.Sem Perinatol24324330
3.
go back to reference Allan, LD, Chita, SK, Sharland, GK, et al. 1989The accuracy of fetal echocardiography in the diagnosis of congenital heart disease.Int J Cardiol25279288CrossRefPubMed Allan, LD, Chita, SK, Sharland, GK,  et al. 1989The accuracy of fetal echocardiography in the diagnosis of congenital heart disease.Int J Cardiol25279288CrossRefPubMed
4.
go back to reference Allan, LD, Cook, A, Sullivan, I, Sharland, GK 1991Hypoplastic left heart syndrome: effects of fetal echocardiography on birth prevalence.Lancet337959961CrossRefPubMed Allan, LD, Cook, A, Sullivan, I, Sharland, GK 1991Hypoplastic left heart syndrome: effects of fetal echocardiography on birth prevalence.Lancet337959961CrossRefPubMed
5.
go back to reference Allan, LD, Crawford, DC, Chita, SK, Tynan, MJ 1986Prenatal screening for congenital heart disease.Br Med J (Clin Res Ed)29217171719 Allan, LD, Crawford, DC, Chita, SK, Tynan, MJ 1986Prenatal screening for congenital heart disease.Br Med J (Clin Res Ed)29217171719
6.
go back to reference Allan, LD, Maxwell, DJ, Carminati, M, Tynan, MJ 1995Survival after fetal aortic balloon valvoplasty.Ultrasound Obstet Gynecol59091CrossRefPubMed Allan, LD, Maxwell, DJ, Carminati, M, Tynan, MJ 1995Survival after fetal aortic balloon valvoplasty.Ultrasound Obstet Gynecol59091CrossRefPubMed
7.
go back to reference Allan, LD, Sharland, GK, Milburn, A, et al. 1994Prospective diagnosis of 1006 consecutive cases of congenital heart disease in the fetus.J Am Coll Cardiol2314521458PubMed Allan, LD, Sharland, GK, Milburn, A,  et al. 1994Prospective diagnosis of 1006 consecutive cases of congenital heart disease in the fetus.J Am Coll Cardiol2314521458PubMed
8.
go back to reference Allan, LD, Tynan, MJ, Campbell, S, Wilkinson, JL, Anderson, RH 1980Echocardiographic and anatomical correlates in the fetus.Br Heart J44444451PubMed Allan, LD, Tynan, MJ, Campbell, S, Wilkinson, JL, Anderson, RH 1980Echocardiographic and anatomical correlates in the fetus.Br Heart J44444451PubMed
9.
go back to reference American College of Obstetricians and Gynecologists1993Ultrasound in pregnancy.ACOG Tech. Bull.18718 American College of Obstetricians and Gynecologists1993Ultrasound in pregnancy.ACOG Tech. Bull.18718
10.
go back to reference Bonnet, D, Coltri, A, Butera, G, et al. 1999Detection of transposition of the great arteries in fetuses reduces neonatal morbidity and mortality.Circulation99916918PubMed Bonnet, D, Coltri, A, Butera, G,  et al. 1999Detection of transposition of the great arteries in fetuses reduces neonatal morbidity and mortality.Circulation99916918PubMed
11.
go back to reference Bjorkhem, G, Jorgensen, C, Hanseus, K 1997Parental reactions to fetal echocardiography.J Maternal Fetal Med68792 Bjorkhem, G, Jorgensen, C, Hanseus, K 1997Parental reactions to fetal echocardiography.J Maternal Fetal Med68792
12.
go back to reference Brackley, KJ, Kilby, MD, Wright, JG, et al. 2000Outcome after prenatal diagnosis of hypoplastic left-heart syndrome: a case series.Lancet35611431147CrossRefPubMed Brackley, KJ, Kilby, MD, Wright, JG,  et al. 2000Outcome after prenatal diagnosis of hypoplastic left-heart syndrome: a case series.Lancet35611431147CrossRefPubMed
13.
go back to reference Bromley, B, Estroff, JA, Sanders, SP, et al. 1992Fetal echocardiography: accuracy and limitations in a population at high and low risk for heart defects.Am J Obstet Gynecol16614731481PubMed Bromley, B, Estroff, JA, Sanders, SP,  et al. 1992Fetal echocardiography: accuracy and limitations in a population at high and low risk for heart defects.Am J Obstet Gynecol16614731481PubMed
14.
go back to reference Buskens, E, Grobbee, DE, Frohn-Mulder, IM, et al. 1996Efficacy of routine fetal ultrasound screening for congenital heart disease in normal pregnancy.Circulation946772PubMed Buskens, E, Grobbee, DE, Frohn-Mulder, IM,  et al. 1996Efficacy of routine fetal ultrasound screening for congenital heart disease in normal pregnancy.Circulation946772PubMed
15.
go back to reference Carpenter Jr, RJ, Strasburger, JF, Garson Jr, A, et al. 1986Fetal ventricular pacing for hydrops secondary to complete atrioventricular block.J Am Coll Cardiol814341436PubMed Carpenter Jr, RJ, Strasburger, JF, Garson Jr, A,  et al. 1986Fetal ventricular pacing for hydrops secondary to complete atrioventricular block.J Am Coll Cardiol814341436PubMed
16.
go back to reference Chang, AC, Huhta, JC, Yoon, GY, et al. 1991Diagnosis, transport, and outcome in fetuses with left ventricular outflow tract obstruction.J Thorac Cardiovasc Surg102841848PubMed Chang, AC, Huhta, JC, Yoon, GY,  et al. 1991Diagnosis, transport, and outcome in fetuses with left ventricular outflow tract obstruction.J Thorac Cardiovasc Surg102841848PubMed
17.
go back to reference Cohen, MS 2001Fetal diagnosis and management of congenital heart disease.Clin Perinatol28vvi11–29 Cohen, MS 2001Fetal diagnosis and management of congenital heart disease.Clin Perinatol28vvi11–29
18.
go back to reference Copel, JA, Tan, AS, Kleinman, CS 1997Does a prenatal diagnosis of congenital heart disease alter short-term outcome?Ultrasound Obstet Gynecol10237241CrossRefPubMed Copel, JA, Tan, AS, Kleinman, CS 1997Does a prenatal diagnosis of congenital heart disease alter short-term outcome?Ultrasound Obstet Gynecol10237241CrossRefPubMed
19.
go back to reference Danford, DA, Cronican, P 1992Hypoplastic left heart syndrome: progression of left ventricular dilation and dysfunction to left ventricular hypoplasia in utero.Am Heart J12317121713CrossRefPubMed Danford, DA, Cronican, P 1992Hypoplastic left heart syndrome: progression of left ventricular dilation and dysfunction to left ventricular hypoplasia in utero.Am Heart J12317121713CrossRefPubMed
20.
go back to reference Daubeney, PE, Sharland, GK, Cook, AC, et al. 1998Pulmonary atresia with intact ventricular septum: impact of fetal echocardiography on incidence at birth and postnatal outcome. UK and Eire Collaborative Study of Pulmonary Atresia with Intact Ventricular Septum.Circulation98562566PubMed Daubeney, PE, Sharland, GK, Cook, AC,  et al. 1998Pulmonary atresia with intact ventricular septum: impact of fetal echocardiography on incidence at birth and postnatal outcome. UK and Eire Collaborative Study of Pulmonary Atresia with Intact Ventricular Septum.Circulation98562566PubMed
21.
go back to reference Davis, GK, Farquhar, CM, Allan, LD, Crawford, DC, Chapman, MG 1990Structural cardiac abnormalities in the fetus: reliability of prenatal diagnosis and outcome.Br J Obstet Gynaecol972731PubMed Davis, GK, Farquhar, CM, Allan, LD, Crawford, DC, Chapman, MG 1990Structural cardiac abnormalities in the fetus: reliability of prenatal diagnosis and outcome.Br J Obstet Gynaecol972731PubMed
22.
go back to reference Delisle, MF, Sandor, GG, Tessier, F, Farquharson, DF 1999Outcome of fetuses diagnosed with atrioventricular septal defect.Obstet Gynecol94763767CrossRefPubMed Delisle, MF, Sandor, GG, Tessier, F, Farquharson, DF 1999Outcome of fetuses diagnosed with atrioventricular septal defect.Obstet Gynecol94763767CrossRefPubMed
23.
go back to reference Devine, PC, Simpson, LL 2000Nuchal translucency and its relationship to congenital heart disease.Sem Perinatol24343351 Devine, PC, Simpson, LL 2000Nuchal translucency and its relationship to congenital heart disease.Sem Perinatol24343351
24.
go back to reference DeVore, GR 1998Influence of prenatal diagnosis on congenital heart defects.Ann N Y Acad8474652 DeVore, GR 1998Influence of prenatal diagnosis on congenital heart defects.Ann N Y Acad8474652
25.
go back to reference Eapen, RS, Rowland, DG, Franklin, WH 1998Effect of prenatal diagnosis of critical left heart obstruction on perinatal morbidity and mortality.Am J Perinatol15237242PubMed Eapen, RS, Rowland, DG, Franklin, WH 1998Effect of prenatal diagnosis of critical left heart obstruction on perinatal morbidity and mortality.Am J Perinatol15237242PubMed
26.
go back to reference Franklin, O, Burch, M, Manning, N, et al. 2002Prenatal diagnosis of coarctation of the aorta improves survival and reduces morbidity.Heart876769CrossRefPubMed Franklin, O, Burch, M, Manning, N,  et al. 2002Prenatal diagnosis of coarctation of the aorta improves survival and reduces morbidity.Heart876769CrossRefPubMed
27.
go back to reference Grady, D 2002, February 25Operation on fetus’s heart valve called a “science fiction” success.New York Times.. Grady, D 2002, February 25Operation on fetus’s heart valve called a “science fiction” success.New York Times..
28.
go back to reference Groves, AM, Allan, LD, Rosenthal, E 1995Therapeutic trial of sympathomimetics in three cases of complete heart block in the fetus.Circulation9233943396PubMed Groves, AM, Allan, LD, Rosenthal, E 1995Therapeutic trial of sympathomimetics in three cases of complete heart block in the fetus.Circulation9233943396PubMed
29.
go back to reference Hanley, FL 1994Fetal cardiac surgery.Adv Cardiol Surg54774 Hanley, FL 1994Fetal cardiac surgery.Adv Cardiol Surg54774
30.
go back to reference Hornberger, LK, Sanders, SP, Rein, AJ, et al. 1995Left heart obstructive lesions and left ventricular growth in the midtrimester fetus.A longitudinal study. Circulation9215311538 Hornberger, LK, Sanders, SP, Rein, AJ,  et al. 1995Left heart obstructive lesions and left ventricular growth in the midtrimester fetus.A longitudinal study. Circulation9215311538
31.
go back to reference Hornberger, LK, Sanders, SP, Sahn, DJ, et al. 1995In utero pulmonary artery and aortic growth and potential for progression of pulmonary outflow tract obstruction in tetralogy of Fallot.J Am Coll Cardiol25739745CrossRefPubMed Hornberger, LK, Sanders, SP, Sahn, DJ,  et al. 1995In utero pulmonary artery and aortic growth and potential for progression of pulmonary outflow tract obstruction in tetralogy of Fallot.J Am Coll Cardiol25739745CrossRefPubMed
32.
go back to reference Hyett, J, Moscoso, G, Nicolaides, K 1997Abnormalities of the heart and great arteries in first trimester chromosomally abnormal fetuses.Am J Med Genet69207216CrossRefPubMed Hyett, J, Moscoso, G, Nicolaides, K 1997Abnormalities of the heart and great arteries in first trimester chromosomally abnormal fetuses.Am J Med Genet69207216CrossRefPubMed
33.
go back to reference Hyett, JA, Perdu, M, Sharland, GK, Snijders, RS, Nicolaides, KH 1997Increased nuchal translucency at 10–14 weeks of gestation as a marker for major cardiac defects.Ultrasound Obstet Gynecol10242246CrossRefPubMed Hyett, JA, Perdu, M, Sharland, GK, Snijders, RS, Nicolaides, KH 1997Increased nuchal translucency at 10–14 weeks of gestation as a marker for major cardiac defects.Ultrasound Obstet Gynecol10242246CrossRefPubMed
34.
go back to reference Hyett, J, Perdu, M, Sharland, G, Snijders, R, Nicolaides, KH 1999Using fetal nuchal translucency to screen for major congenital cardiac defects at 10–14 weeks of gestation: population based cohort study.Br Med J3188185 Hyett, J, Perdu, M, Sharland, G, Snijders, R, Nicolaides, KH 1999Using fetal nuchal translucency to screen for major congenital cardiac defects at 10–14 weeks of gestation: population based cohort study.Br Med J3188185
35.
go back to reference Jaeggi, ET, Hamilton, RM, Silverman, ED, Zamora, SA, Hornberger, LK 2002Outcome of children with fetal, neonatal or childhood diagnosis of isolated congenital atrioventricular block. A single institution’s experience of 30 years.J Am Coll Cardiol39130137CrossRefPubMed Jaeggi, ET, Hamilton, RM, Silverman, ED, Zamora, SA, Hornberger, LK 2002Outcome of children with fetal, neonatal or childhood diagnosis of isolated congenital atrioventricular block. A single institution’s experience of 30 years.J Am Coll Cardiol39130137CrossRefPubMed
36.
go back to reference Kirk, JS, Riggs, TW, Comstock, CH, et al. 1994Prenatal screening for cardiac anomalies: the value of routine addition of the aortic root to the four-chamber view.Obstet Gynecol84427431PubMed Kirk, JS, Riggs, TW, Comstock, CH,  et al. 1994Prenatal screening for cardiac anomalies: the value of routine addition of the aortic root to the four-chamber view.Obstet Gynecol84427431PubMed
37.
go back to reference Kleinman, CS, Hobbins, JC, Jaffe, CC, Lynch, DC, Talner, NS 1980Echocardiographic studies of the human fetus: prenatal diagnosis of congenital heart disease and cardiac dysrhythmias.Pediatrics6510591067PubMed Kleinman, CS, Hobbins, JC, Jaffe, CC, Lynch, DC, Talner, NS 1980Echocardiographic studies of the human fetus: prenatal diagnosis of congenital heart disease and cardiac dysrhythmias.Pediatrics6510591067PubMed
38.
go back to reference Kohl, T, Sharland, G, Allan, LD, et al. 2000World experience of percutaneous ultrasound-guided balloon valvuloplasty in human fetuses with severe aortic valve obstruction.Am J Cardiol8512301233CrossRefPubMed Kohl, T, Sharland, G, Allan, LD,  et al. 2000World experience of percutaneous ultrasound-guided balloon valvuloplasty in human fetuses with severe aortic valve obstruction.Am J Cardiol8512301233CrossRefPubMed
39.
go back to reference Kumar, RK, Newburger, JW, Gauvreau, K, Kamenir, SA, Hornberger, LK 1999Comparison of outcome when hypoplastic left heart syndrome and transposition of the great arteries are diagnosed prenatally versus when diagnosis of these two conditions is made only postnatally.Am J Cardiol8316491653CrossRefPubMed Kumar, RK, Newburger, JW, Gauvreau, K, Kamenir, SA, Hornberger, LK 1999Comparison of outcome when hypoplastic left heart syndrome and transposition of the great arteries are diagnosed prenatally versus when diagnosis of these two conditions is made only postnatally.Am J Cardiol8316491653CrossRefPubMed
40.
go back to reference Lange, LW, Sahn, DJ, Allen, HD, et al. 1980Qualitative real-time cross-sectional echocardiographic imaging of the human fetus during the second half of pregnancy.Circulation62799806PubMed Lange, LW, Sahn, DJ, Allen, HD,  et al. 1980Qualitative real-time cross-sectional echocardiographic imaging of the human fetus during the second half of pregnancy.Circulation62799806PubMed
41.
go back to reference LeFevre, ML, Bain, RP, Ewigman, BG, et al. 1993A randomized trial of prenatal ultrasonographic screening: impact on maternal management and outcome. RADIUS (Routine Antenatal Diagnostic Imaging with Ultrasound) Study Group.Am J Obstet Gynecol169483489PubMed LeFevre, ML, Bain, RP, Ewigman, BG,  et al. 1993A randomized trial of prenatal ultrasonographic screening: impact on maternal management and outcome. RADIUS (Routine Antenatal Diagnostic Imaging with Ultrasound) Study Group.Am J Obstet Gynecol169483489PubMed
42.
go back to reference Lisowski, LA, Verheijen, PM, Benatar, AA, et al. 2000Atrial flutter in the perinatal age group: diagnosis, management and outcome.J Am Coll Cardiol35771777CrossRefPubMed Lisowski, LA, Verheijen, PM, Benatar, AA,  et al. 2000Atrial flutter in the perinatal age group: diagnosis, management and outcome.J Am Coll Cardiol35771777CrossRefPubMed
43.
go back to reference Lougheed, J, Sinclair, BG, Fung Kee Fung, K, et al. 2001Acquired right ventricular outflow tract obstruction in the recipient twin in twin–twin transfusion syndrome.J Am Coll Cardiol3815331538CrossRefPubMed Lougheed, J, Sinclair, BG, Fung Kee Fung, K,  et al. 2001Acquired right ventricular outflow tract obstruction in the recipient twin in twin–twin transfusion syndrome.J Am Coll Cardiol3815331538CrossRefPubMed
44.
go back to reference Maeno, YV, Kamenir, SA, Sinclair, B, et al. 1999Prenatal features of ductus arteriosus constriction and restrictive foramen ovale in d-transposition of the great arteries.Circulation9912091214PubMed Maeno, YV, Kamenir, SA, Sinclair, B,  et al. 1999Prenatal features of ductus arteriosus constriction and restrictive foramen ovale in d-transposition of the great arteries.Circulation9912091214PubMed
45.
go back to reference Mahle, WT, Clancy, RR, McGaurn, SP, Goin, JE, Clark, BJ 2001Impact of prenatal diagnosis on survival and early neurologic morbidity in neonates with the hypoplastic left heart syndrome.Pediatrics10712771282PubMed Mahle, WT, Clancy, RR, McGaurn, SP, Goin, JE, Clark, BJ 2001Impact of prenatal diagnosis on survival and early neurologic morbidity in neonates with the hypoplastic left heart syndrome.Pediatrics10712771282PubMed
46.
go back to reference Mahle, WT, Rychik, J, Tian, ZY, et al. 2000Echocardiographic evaluation of the fetus with congenital cystic adenomatoid malformation.Ultrasound Obstet Gynecol16620624CrossRefPubMed Mahle, WT, Rychik, J, Tian, ZY,  et al. 2000Echocardiographic evaluation of the fetus with congenital cystic adenomatoid malformation.Ultrasound Obstet Gynecol16620624CrossRefPubMed
47.
go back to reference Meyer-Wittkopf, M, Cooper, S, Sholler, G 2001Correlation between fetal cardiac diagnosis by obstetric and pediatric cardiologist sonographers and comparison with postnatal findings.Ultrasound Obstet Gynecol17392397CrossRefPubMed Meyer-Wittkopf, M, Cooper, S, Sholler, G 2001Correlation between fetal cardiac diagnosis by obstetric and pediatric cardiologist sonographers and comparison with postnatal findings.Ultrasound Obstet Gynecol17392397CrossRefPubMed
48.
go back to reference Montana, E, Khoury, MJ, Cragan, JD, et al. 1996Trends and outcomes after prenatal diagnosis of congenital cardiac malformations by fetal echocardiography in a well defined birth population, Atlanta, Georgia, 1990–1994.J Am Coll Cardiol2818051809CrossRefPubMed Montana, E, Khoury, MJ, Cragan, JD,  et al. 1996Trends and outcomes after prenatal diagnosis of congenital cardiac malformations by fetal echocardiography in a well defined birth population, Atlanta, Georgia, 1990–1994.J Am Coll Cardiol2818051809CrossRefPubMed
49.
go back to reference Moselhi, M, Thilaganathan, B 1996Nuchal translucency: a marker for the antenatal diagnosis of aortic coarctation.Br J Obstet Gynaecol10310441045PubMed Moselhi, M, Thilaganathan, B 1996Nuchal translucency: a marker for the antenatal diagnosis of aortic coarctation.Br J Obstet Gynaecol10310441045PubMed
50.
go back to reference Munn, MB, Brumfield, CG, Lau, Y, Colvin, EV 1999Prenatally diagnosed hypoplastic left heart syndrome—outcomes after postnatal surgery.J Maternal Fetal Med8147150 Munn, MB, Brumfield, CG, Lau, Y, Colvin, EV 1999Prenatally diagnosed hypoplastic left heart syndrome—outcomes after postnatal surgery.J Maternal Fetal Med8147150
51.
go back to reference Murakoshi, T, Yamamori, K, Tojo, Y, et al. 2000Pulmonary stenosis in recipient twins in twin-to-twin transfusion syndrome: report on 3 cases and review of literature.Croat Med J41252256PubMed Murakoshi, T, Yamamori, K, Tojo, Y,  et al. 2000Pulmonary stenosis in recipient twins in twin-to-twin transfusion syndrome: report on 3 cases and review of literature.Croat Med J41252256PubMed
52.
go back to reference Naides, SJ, Weiner, CP 1989Antenatal diagnosis and palliative treatment of non-immune hydrops fetalis secondary to fetal parvovirus B19 infection.Prenat Diagn9105114PubMed Naides, SJ, Weiner, CP 1989Antenatal diagnosis and palliative treatment of non-immune hydrops fetalis secondary to fetal parvovirus B19 infection.Prenat Diagn9105114PubMed
53.
go back to reference Oberhansli, I, Extermann, P, Jaggi, E, Pfizenmaier, M 2000Fetal echocardiography in pregnancies of women with congenital heart disease—Clinical utility and limitations.Thorac Cardiovasc Surg48323327CrossRefPubMed Oberhansli, I, Extermann, P, Jaggi, E, Pfizenmaier, M 2000Fetal echocardiography in pregnancies of women with congenital heart disease—Clinical utility and limitations.Thorac Cardiovasc Surg48323327CrossRefPubMed
54.
go back to reference Paladini, D, Palmieri, S, Lamberti, A, et al. 2000Characterization and natural history of ventricular septal defects in the fetus.Ultrasound Obstet Gynecol16118122CrossRefPubMed Paladini, D, Palmieri, S, Lamberti, A,  et al. 2000Characterization and natural history of ventricular septal defects in the fetus.Ultrasound Obstet Gynecol16118122CrossRefPubMed
55.
go back to reference Satomi, G, Yasukochi, S, Shimizu, T, Takigiku, K, Ishii, T 1999Has fetal echocardiography improved the prognosis of congenital heart disease? Comparison of patients with hypoplastic left heart syndrome with and without prenatal diagnosis.Pediatr Int41728732CrossRefPubMed Satomi, G, Yasukochi, S, Shimizu, T, Takigiku, K, Ishii, T 1999Has fetal echocardiography improved the prognosis of congenital heart disease? Comparison of patients with hypoplastic left heart syndrome with and without prenatal diagnosis.Pediatr Int41728732CrossRefPubMed
56.
go back to reference Schmidt, KG, Ulmer, HE, Silverman, NH, Kleinman, CS, Copel, JA 1991Perinatal outcome of fetal complete atrioventricular block: a multicenter experience.J Am Coll Cardiol1713601366PubMed Schmidt, KG, Ulmer, HE, Silverman, NH, Kleinman, CS, Copel, JA 1991Perinatal outcome of fetal complete atrioventricular block: a multicenter experience.J Am Coll Cardiol1713601366PubMed
57.
go back to reference Simpson, LL 2000Fetal supraventricular tachycardias: diagnosis and management.Sem Perinatol24360372 Simpson, LL 2000Fetal supraventricular tachycardias: diagnosis and management.Sem Perinatol24360372
58.
go back to reference Sklansky, M, Tang, A, Levy, D, et al. 2002Maternal psychological impact of fetal echocardiography.J Am Soc Echocardiogr15159166CrossRefPubMed Sklansky, M, Tang, A, Levy, D,  et al. 2002Maternal psychological impact of fetal echocardiography.J Am Soc Echocardiogr15159166CrossRefPubMed
59.
go back to reference Snider, AR 1988Two-dimensional and Doppler echocardiographic evaluation of heart disease in the neonate and fetus.Clin Perinatol15523565PubMed Snider, AR 1988Two-dimensional and Doppler echocardiographic evaluation of heart disease in the neonate and fetus.Clin Perinatol15523565PubMed
60.
go back to reference Tegnander, E, Eik-Nes, SH, Johansen, OJ, Linker, DT 1995Prenatal detection of heart defects at the routine fetal examination at 18 weeks in a non-selected population.Ultrasound Obstet Gynecol5373380CrossRef Tegnander, E, Eik-Nes, SH, Johansen, OJ, Linker, DT 1995Prenatal detection of heart defects at the routine fetal examination at 18 weeks in a non-selected population.Ultrasound Obstet Gynecol5373380CrossRef
61.
go back to reference Todros, T 2000Prenatal diagnosis and management of fetal cardiovascular malformations.Curr Opin Obstet Gynecol12105109CrossRefPubMed Todros, T 2000Prenatal diagnosis and management of fetal cardiovascular malformations.Curr Opin Obstet Gynecol12105109CrossRefPubMed
62.
go back to reference Tworetzky, W, McElhinney, DB, Reddy, VM, et al. 2001Improved surgical outcome after fetal diagnosis of hypoplastic left heart syndrome.Circulation10312691273PubMed Tworetzky, W, McElhinney, DB, Reddy, VM,  et al. 2001Improved surgical outcome after fetal diagnosis of hypoplastic left heart syndrome.Circulation10312691273PubMed
63.
go back to reference Verheijen, PM, Lisowski, LA, Stoutenbeek, P, et al. 2001Prenatal diagnosis of congenital heart disease affects preoperative acidosis in the newborn patient.J Thorac Cardiovasc Surg121798803CrossRefPubMed Verheijen, PM, Lisowski, LA, Stoutenbeek, P,  et al. 2001Prenatal diagnosis of congenital heart disease affects preoperative acidosis in the newborn patient.J Thorac Cardiovasc Surg121798803CrossRefPubMed
64.
go back to reference Yagel, S, Weissman, A, Rotstein, Z, et al. 1997Congenital heart defects: natural course and in utero development.Circulation96550555PubMed Yagel, S, Weissman, A, Rotstein, Z,  et al. 1997Congenital heart defects: natural course and in utero development.Circulation96550555PubMed
65.
go back to reference Zosmer, N, Souter, VL, Chan, CS, Huggon, IC, Nicolaides, KH 1999Early diagnosis of major cardiac defects in chromosomally normal fetuses with increased nuchal translucency.Br J Obstet Gynaecol106829833PubMed Zosmer, N, Souter, VL, Chan, CS, Huggon, IC, Nicolaides, KH 1999Early diagnosis of major cardiac defects in chromosomally normal fetuses with increased nuchal translucency.Br J Obstet Gynaecol106829833PubMed
Metadata
Title
The Impact of Fetal Echocardiography
Authors
J. P. Kovalchin
N. H. Silverman
Publication date
01-06-2004
Publisher
Springer-Verlag
Published in
Pediatric Cardiology / Issue 3/2004
Print ISSN: 0172-0643
Electronic ISSN: 1432-1971
DOI
https://doi.org/10.1007/s00246-003-0593-1

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