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F124Prenatal diagnosis of congenital heart disease and postnatal outcome in a tertiary care center
Author(s) -
Toth B.,
Römer U.,
Schulze A.,
Strauss A.
Publication year - 2000
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 - 10.1046/j.1469-0705.2000.00015-1-123.x
Subject(s) - medicine , prenatal diagnosis , heart disease , pediatrics , tertiary care , fetus , obstetrics and gynaecology , pregnancy , fetal echocardiography , intervention (counseling) , disease , obstetrics , heart defect , surgery , cardiology , genetics , biology , psychiatry
Background Prenatal sonographic diagnosis of congenital heart disease (CHD) is important for proper perinatal and neonatal management as CHD occurs in approximately eight of 1000 live birth. Method All fetal echocardiograms obtained in the department of obstetrics and gynecology between January 1994 and June 2000 and postnatal echocardiograms obtained in the department of pediatric cardiology were reviewed. Results A CHD was found in 63 fetuses prenatally and in 116 newborns postnatally. The prenatal diagnosis was confirmed in 82%. Most of the false‐negative diagnosis were septal defects. Thirty‐three of the 116 neonates with a CHD died in the first year of life (28.4%). Eight (7%) needed a surgical intervention. Regarding only the neonates with a septal defect 64 (92%) showed normal developing, without surgical or medical intervention. Conclusion Echocardiographic diagnosis of CHD can be achieved with accuracy in fetal life. Septal defects are the most unrecognized CHD prenatally but did not influence the postnatal hemodynamic circulation in most neonates. Nearly one third of the children with a CHD died and around 10% needed a surgical intervention in the first year of life. 59% were in good clinical condition and showed normal developing.