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EP11.05: Early fetal echocardiography in Mexico
Author(s) -
Lemini M. Cruz.,
LunaGarcía J.,
MartinezRodriguez M.,
SaldivarRodríguez D.,
JuárezMartínez I.,
Rebolledo C.,
CruzMartinez R.
Publication year - 2019
Publication title -
ultrasound in obstetrics and gynecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.202
H-Index - 141
eISSN - 1469-0705
pISSN - 0960-7692
DOI - 10.1002/uog.21326
Subject(s) - medicine , fetal echocardiography , fetus , ductus venosus , gestation , gestational age , cardiology , pregnancy , prospective cohort study , obstetrics , prenatal diagnosis , genetics , biology
Result Value No congenital heart defects 71.6 (106) Congenital heart defects 28.4 (42) Ventricular septal defects 33.3 (14) Venous anomalies 23.8 (10) Hypoplastic right heart syndrome 7.1 (3) Atrioventricular canal 7.1 (3) Conotruncal defects 4.8 (2) Hypoplastic left heart syndrome 4.8 (2) Arrhythmias 4.8 (2) Pulmonary valve stenosis 4.8 (2) Aberrant right subclavian artery 2.1 (1) Other anomalies 7.1 (3) Data shown as percentage(n). RESULTS Early fetal echocardiography was performed in 148 fetuses, at a mean gestational age of 14+2 weeks (range 12+3 – 16+0). Nuchal translucency (NT) above the 99th centile was the most common indication for referral (39.9%), followed by isolated reversed atrial flow in the ductus venosus (29.7%). 42 (28.4%) fetuses were found to have a cardiac defect (Table). 5 (3.4%) fetuses died after early diagnosis of CHD, all of them with normal karyotype; remaining diagnoses were confirmed at 22-24 weeks’ with an advanced fetal echocardiogram.