CONGENITAL HEART DISEASE IDENTIFIED AT FIRST TRIMESTER FETAL ECHOCARDIOGRAPHY; AN INSTITUTIONAL EXPERIENCE

2014 ◽  
Vol 30 (10) ◽  
pp. S342-S343
Author(s):  
L. Mills ◽  
W. Savard ◽  
V. Jain ◽  
L. Hornberger
Author(s):  
Ximena Carolina Romero Infante ◽  
Arturo Montaño Mendoza ◽  
Diana Sarmiento ◽  
María Uriel Calvo ◽  
José De la Hoz Valle

The chances of detecting congenital heart disease are improved following structured protocols. Fetal heart disease is one of the main serious congenital malformations. The objective of this review is to present the benefits of sequential and routine cardiac evaluation in the first and early second trimesters and to identify the structures and pathologies that can be detected at this gestational age. The databases of PubMed, Medline, MD consult, Embase, Clinical Key, Scielo, and ScienceDirect, as well as specialized texts in Spanish and English were searched for diagnostic studies, systematic reviews, and meta-analysis related to the terms “early fetal echocardiography” and “congenital heart malformations” published between 2000 and 2019. Technological advances have revolutionized the fetal echocardiographic examination making possible the diagnosis of congenital heart disease from the first and early second trimester of pregnancy. However, it should be recognized that early fetal echocardiography has limitations such as the evaluation of pulmonary veins and cardiac lesions that are progressive. The benefit found was earlier detection of pathologies with high sensitivity and specificity. A fetal cardiac evaluation sequence was included in these early fetal echocardiographic examinations due to the awareness of fetal anatomical and hemodynamic differences in the first trimester and the beginning of the second trimester. Early fetal echocardiography is a very useful tool for the detection of congenital heart disease; it allows parents to be informed about the prognosis and possible treatments early. Fetal cardiac examination in the first trimester is safe and can detect the most of heart congenital malformation.


PEDIATRICS ◽  
1965 ◽  
Vol 36 (2) ◽  
pp. 264-268
Author(s):  
AARON R. RAUSEN ◽  
ROBERT D. LONDON ◽  
ABRAHAM MIZRAHI ◽  
LOUIS Z. COOPER

Two newborn infants are presented whose mothers had rubella in the first trimester of pregnancy. Both infants were born with thrombocytopenic purpura and suggestive evidence of a hemolytic disorder. The second infant had congenital heart disease as well. Roentgenographic changes in the metaphyseal ends of several long bones, observed in the first infant at 3 days of age, regressed completely by 2 months of age. The second infant had roentgenographic evidence of metaphyseal changes of a lesser degree, limited to the distal ends of the femora. These changes were no longer present at 6 weeks of age. Both infants were shown to be harboring an interfering agent with the characteristics of the rubella virus.


2017 ◽  
Vol 69 ◽  
pp. S76
Author(s):  
P.R. Mankame ◽  
A. Phaterpekar ◽  
A. Bafna ◽  
H.C. Shah ◽  
C.P. Lanjewar ◽  
...  

2017 ◽  
Vol 34 (12) ◽  
pp. 1804-1821 ◽  
Author(s):  
Laura Sanapo ◽  
Jay D. Pruetz ◽  
Maciej Słodki ◽  
M. Beth Goens ◽  
Anita J. Moon-Grady ◽  
...  

1994 ◽  
Vol 11 (05) ◽  
pp. 334-336 ◽  
Author(s):  
James Maher ◽  
Edward Colvin ◽  
Tandaw Samdarshi ◽  
John Owen ◽  
John Hauth

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