Prenatal Cardiology最新文献

筛选
英文 中文
New classifications of prenatally diagnosed congenital heart defects and their influence of neonatal survivability 产前诊断先天性心脏缺陷的新分类及其对新生儿存活率的影响
Prenatal Cardiology Pub Date : 2015-09-01 DOI: 10.12847/09151
M. Słodki, M. Respondek-Liberska
{"title":"New classifications of prenatally diagnosed congenital heart defects and their influence of neonatal survivability","authors":"M. Słodki, M. Respondek-Liberska","doi":"10.12847/09151","DOIUrl":"https://doi.org/10.12847/09151","url":null,"abstract":"Abstract Attempts to adapt the classifications of pediatric congenital heart defects (CHD) to prenatal cardiology have been lasting for many years. The paediatric cardiology CHD classifications are mainly based on anatomic details and/or pulmonary blood flow and are not always useful in fetal medicine. Because of these reasons and also many more, adaptation attempts of congenital heart defects of children, from pediatric to prenatal cardiology have not brought desired effects.Clinical course in utero and at delivery can now be predicted, and as a consequence, fetal medicine specialists are being asked to consider the fetus as a patient and the transition to postnatal life is an important part of care. The new prenatal classifications of CHD shows new particular group of CHD, requiring emergent procedure after birth. Thanks to organizing special delivery room with special team of specialist we can much more improve the outcome, especially in severest CHD.","PeriodicalId":415760,"journal":{"name":"Prenatal Cardiology","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116456595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 11
Prenatal invasive decompression therapy of an arachnoid cyst in a fetus with normal heart anatomy and no functional anomalies - a case report 心脏解剖正常无功能异常胎儿蛛网膜囊肿的产前有创减压治疗1例
Prenatal Cardiology Pub Date : 2015-09-01 DOI: 10.12847/09156
J. Malinowski, M. Słodki, K. Szaflik, Wanda Mikolajczyk-Wieczorek
{"title":"Prenatal invasive decompression therapy of an arachnoid cyst in a fetus with normal heart anatomy and no functional anomalies - a case report","authors":"J. Malinowski, M. Słodki, K. Szaflik, Wanda Mikolajczyk-Wieczorek","doi":"10.12847/09156","DOIUrl":"https://doi.org/10.12847/09156","url":null,"abstract":"Abstract We present a case of a female fetus with large posterior fossa cyst. After detailed diagnosis in referral center revealing normal heart anatomy and no functional abnormalities in cardiovascular system, a trial decompression of the fluid reservoir was suggested to the parents and successfully performed at the 30th week of pregnancy. Neurosurgical treatment was continued in the neonatal period. At the age of 7 months, the child presented normal physical development, and the cranial image of the CNS showed good recovery of the brain.","PeriodicalId":415760,"journal":{"name":"Prenatal Cardiology","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129114192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
State of art of MRI of fetal heart 胎儿心脏核磁共振成像技术进展
Prenatal Cardiology Pub Date : 2015-09-01 DOI: 10.12847/09152
L. Manganaro
{"title":"State of art of MRI of fetal heart","authors":"L. Manganaro","doi":"10.12847/09152","DOIUrl":"https://doi.org/10.12847/09152","url":null,"abstract":"Abstract Congenital heart defect (CHD) is one of the most common type of fetal malformations. Tissue-Doppler imaging, dynamic threedimensional (4D) echocardiography and fetal cardiac magnetic resonance imaging (MRI) are advanced modalities for the assessment of cardiac structure and function. MRI can study the cardiac morphology using T2-weighted half-Fourier single-shot turbo spin-echo sequence (HASTE) and steady-state free precession (True FISP) sequences. Also a dynamic study can be performed, through the acquisition of cine-MR sequences with real-time steady-state free precession (SSFP) oriented according to the standard projections used in fetal echocardiographic scanning. If the challenges relating to motion and cardiac gating can be overcome, MRI has the potential to provide high-resolution imaging of the fetal heart.","PeriodicalId":415760,"journal":{"name":"Prenatal Cardiology","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115110537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Routine third trimester fetal cardiac evaluation: time for consideration 常规妊娠晚期胎儿心脏评估:考虑时间
Prenatal Cardiology Pub Date : 2015-09-01 DOI: 10.12847/09154
I. Strzelecka, J. Płużańska, J. Węgrzynowski, T. Moszura, M. Słodki, M. Respondek-Liberska
{"title":"Routine third trimester fetal cardiac evaluation: time for consideration","authors":"I. Strzelecka, J. Płużańska, J. Węgrzynowski, T. Moszura, M. Słodki, M. Respondek-Liberska","doi":"10.12847/09154","DOIUrl":"https://doi.org/10.12847/09154","url":null,"abstract":"Abstract Most heart defects form between 4 and 6 weeks after fertilization. The detection rate is still growing. Despite significant progress in prenatal diagnosis some cases still go undetected. We present two cases of similar defects: prenatally detected and undetected, both presenting with a normal four chamber view in mid-pregnancy. We compared the follow-up of both neonates along with sustained health and economic consequences. The dynamics of the development of heart defects during prenatal life suggests the legitimacy to perform additional, late echocardiography exams (35-38 weeks of gestation)","PeriodicalId":415760,"journal":{"name":"Prenatal Cardiology","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131265854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 16
Recommendations for Fetal Echocardiography in Singleton Pregnancy in 2015 2015年单胎妊娠胎儿超声心动图建议
Prenatal Cardiology Pub Date : 2015-06-01 DOI: 10.12847/06155
M. Respondek-Liberska, M. Sklansky, D. Wood, M. Słodki, S. Weiner, B. Cuneo, J. Huhta, U. Gembruch, G. Rizzo, G. Sharland, R. Achiron, J. Pruetz
{"title":"Recommendations for Fetal Echocardiography in Singleton Pregnancy in 2015","authors":"M. Respondek-Liberska, M. Sklansky, D. Wood, M. Słodki, S. Weiner, B. Cuneo, J. Huhta, U. Gembruch, G. Rizzo, G. Sharland, R. Achiron, J. Pruetz","doi":"10.12847/06155","DOIUrl":"https://doi.org/10.12847/06155","url":null,"abstract":"Abstract The first recommendations and guidelines for physicians training in fetal echocardiography (FE) were created in 1990 and later on up-dated by multiple medical associations and journals in Europe and the United States. This time advanced fetal cardiac ultrasound recommendations focused more on the organizational and logistical aspects of FE, to better define the fetal echo guidelines for practitioners in tertiary centers. Underlined is FE in 3rd trimester, with special attention to the direction of flow across the foramen ovale and ductus arteriosus. AHA classification of heart defects in prenatal cardiology into seven major groups (from 2014) is presented as well as the Polish classification into four groups (from 2012) related to the urgency of required time to postnatal treatment/intervention based on FE findings in the 3rd trimester of pregnancy. Current definition of fetal cardiologist in 2015 is also presented.","PeriodicalId":415760,"journal":{"name":"Prenatal Cardiology","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123872152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 13
Can Inflammatory Markers Diagnosed Upon Ultrasound Examination During Pregnancy Regress After Administration of Vaginal Treatment? – A Pilot Study 妊娠期间超声检查诊断出的炎症标志物在阴道治疗后会消退吗?-一项先导研究
Prenatal Cardiology Pub Date : 2015-06-01 DOI: 10.12847/06152
M. Szubert, M. Respondek-Liberska
{"title":"Can Inflammatory Markers Diagnosed Upon Ultrasound Examination During Pregnancy Regress After Administration of Vaginal Treatment? – A Pilot Study","authors":"M. Szubert, M. Respondek-Liberska","doi":"10.12847/06152","DOIUrl":"https://doi.org/10.12847/06152","url":null,"abstract":"Abstract Background: Inflammatory markers in prenatal ultrasound are a heterogeneous group of images that can evolve during pregnancy, due to regression or exacerbation of infection in pregnant women. Objective:The assessment if effective rebalancing of the bacterial flora of the vagina can lead to withdrawal of the symptoms of inflammation in ultrasound examination (US). Methods: A retrospective pilot study, among pregnant woman admitted to the Department of Prenatal Cardiology ICZMP in 2013-2014 in whom ultrasonographic signs of intrauterine infection were present. Electronic database were searched for key words ”infection, placentitis, tricuspid regurgitation, poly/oligohydramnion, IUGR, CRP, antibiotics, vaginal treatment”. The analysis included 238 patients, 30 received antibacterial vaginal treatment, from 27 patients a complete follow-up (control ultrasound after 10-14 days and data on labor) were obtained. Results: The average age of patients was 29 years. In 22% of patients tricuspid regurgitation was observed and it was the most commonly recognized marker of infection. Regression of infection signs were observed in 21 patients (77.8%) after 2 weeks of vaginal treatment. 2 patients presented with ultrasound image stabilization, in 3 patients worsening of tricuspid regurgitation or cardiac hypertrophy were detected. Polyhydramnios, the second most common parameter (18.51% of patients) resolved after treatment in all studied patients. The delivery took place an average at 39th week of gestation (SD +/- 1.93). Conclusions: Effective anti-inflammatory vaginal treatment improved ultrasound images in 21 out of 27 fetuses. These preliminary observations suggesting a beneficial role of the vaginal treatment on inflammatory markers in pregnancy ultrasound require further investigation.","PeriodicalId":415760,"journal":{"name":"Prenatal Cardiology","volume":"52 Pt 1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128939819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Relative Certainty as Opposed to Uncertainty in the Diagnosis of Isomerism 同分异构体诊断中的相对确定性与不确定性
Prenatal Cardiology Pub Date : 2015-06-01 DOI: 10.12847/06151
Diane E Spicer, M. Respondek-Liberska, Robert H. Anderson
{"title":"Relative Certainty as Opposed to Uncertainty in the Diagnosis of Isomerism","authors":"Diane E Spicer, M. Respondek-Liberska, Robert H. Anderson","doi":"10.12847/06151","DOIUrl":"https://doi.org/10.12847/06151","url":null,"abstract":"Abstract The situation in which the bodily organs are “jumbled up”, frequently described in terms of visceral heterotaxy, was first brought to prominence by Ivemark, who emphasised the situation in terms of anatomy and development of the spleen. Putschar and Mannion then indicated that “between the normal situs, which is asymmetrical, and the situs inversus, which is the asymmetrical mirror-image of normality, a symmetrical situs sometimes exists, and this is the essence of bodily isomerism”. In the setting of the congenitally malformed heart, however, the isomeric features are found uniformly only in the atrial appendages. To date, these such subtle features have largely been recognised at autopsy, but if specifically sought for, they should be identified by the echocardiographer, even when working in the prenatal setting. The positive diagnosis of cardiac isomerism, therefore, depends on the recognition of isomeric atrial appendages. There is no evidence of isomerism at ventricular or arterial level. The relationship of the great vessels as they traverse the diaphragm, nonetheless, has been shown to be helpful in pointing to the need for more specific examination of the atrial appendages. When analysed on this basis, there can only be left or right isomerism, although the isomeric features are not always found uniformly throughout the bodily organs. Should there be disharmony between the systems, the specific findings should be described for each system, thus removing any suggestion of ambiguity. The distinction between left and right isomerism is crucial for counselling, not only for immediate decisions regarding the progress of the pregnancy in question, but for future potential pregnancies. Distinguishing between pregnancies developing with right and left isomerism could also provide the key for determining the genes responsible for the production of laterality.","PeriodicalId":415760,"journal":{"name":"Prenatal Cardiology","volume":"163 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125662828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Prenatal Sonographic Diagnosis of Pierre-Robin Sequence - A Case Report 产前超声诊断皮埃尔-罗宾序列1例报告
Prenatal Cardiology Pub Date : 2015-06-01 DOI: 10.12847/06154
R. Zieliński, S. Foryś, M. Respondek-Liberska
{"title":"Prenatal Sonographic Diagnosis of Pierre-Robin Sequence - A Case Report","authors":"R. Zieliński, S. Foryś, M. Respondek-Liberska","doi":"10.12847/06154","DOIUrl":"https://doi.org/10.12847/06154","url":null,"abstract":"Abstract The rare anomalies diagnosed in prenatal ultrasonographic examination include Pierre-Robin sequence. The aim of the report was to demonstrate a well-documented case of Pierre-Robin sequence detected by ultrasonography at the 24th week of gestation, present the differentiation of Pierre-Robin sequence in the prenatal ultrasonography and to emphasize the importance of early sonographic diagnosis of the anomaly. The prenatal diagnosis of Pierre-Robin sequence in prenatal ultrasonographic assessment is of great importance as it permits planning further course of pregnancy as well as EXIT procedure and postnatal treatment.","PeriodicalId":415760,"journal":{"name":"Prenatal Cardiology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134270169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Significance of Autopsy to Look for Extracardiac Anomalies, Despite Correct Prenatal Diagnosis of Hypoplastic Left Heart Syndrome in Two Siblings 尸检寻找心外异常的意义,尽管正确的产前诊断左心发育不全综合征的两个兄弟姐妹
Prenatal Cardiology Pub Date : 2015-06-01 DOI: 10.12847/06153
I. Gawron, M. Borówka, J. Kolcz, J. Skalski
{"title":"The Significance of Autopsy to Look for Extracardiac Anomalies, Despite Correct Prenatal Diagnosis of Hypoplastic Left Heart Syndrome in Two Siblings","authors":"I. Gawron, M. Borówka, J. Kolcz, J. Skalski","doi":"10.12847/06153","DOIUrl":"https://doi.org/10.12847/06153","url":null,"abstract":"Abstract Thanks to recent progress in foetal imaging, it is now possible to detect many anatomical defects at earlier gestational age. To illustrate the importance of prenatal diagnosis and the impact of extracardiac congenital anomalies we presented the cases of sibling with prenatal diagnosis of hypoplastic left heart syndrome (HLHS) and post-mortem diagnosis of adrenal hypoplasia. Prenatal diagnosis was made in one mother twice, in two subsequent pregnancies, respectively at 22 and 18 weeks gestational age. The mother-to-be was referred to specialist foetal echocardiography because of suspected image of the heart. After the diagnosis was made, future parents were thoroughly informed about prognosis and possible management and decided to continue pregnancy, and treat a newborn, despite the fact that the foetal defect was diagnosed subsequently. The two newborns underwent surgical treatment and no complications occurred during the surgery. The children died after Norwood operation among the symptoms of acute adrenal failure. In post-mortem examination of the younger, the severe adrenal hypoplasia was identified. Prenatal diagnosis enables to make informed, conscious decisions at appropriate gestational age. Detection of congenital heart defect should incline an ultrasonographer towards searching for extracardiac lesions, which might significantly influence prognosis and surgical outcomes.","PeriodicalId":415760,"journal":{"name":"Prenatal Cardiology","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116418386","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prenatal Diagnosis of Holt-Oram Syndrome Holt-Oram综合征的产前诊断
Prenatal Cardiology Pub Date : 2015-03-01 DOI: 10.12847/03155
H. Moczulska, M. Respondek-Liberska
{"title":"Prenatal Diagnosis of Holt-Oram Syndrome","authors":"H. Moczulska, M. Respondek-Liberska","doi":"10.12847/03155","DOIUrl":"https://doi.org/10.12847/03155","url":null,"abstract":"Abstract Holt-Oram syndrome is a rare genetic syndrome, characterized by upper limb anomalies and congenital heart defects. The overall prenatal detection rate is low. We report a case of fetus with Holt-Oram syndrome with the current review of the literature.","PeriodicalId":415760,"journal":{"name":"Prenatal Cardiology","volume":"185 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116010682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信