Fetal Echocardiography: Indications for Referral, Prenatal Diagnoses, and Outcomes

Three hundred three fetuses were studied with fetal echocardiography and 21 were diagnosed with congenital heart disease (CHD). Indications for study, prenatal findings, and postnatal outcomes were examined in all fetuses studied. The most common indications for referral were previous family history and fetal dysrhythmia. Of 189 fetuses studied for these indications, six had CHD. Indications with the highest proportion of abnormal studies included an abnormal four-chamber view of the heart (50% abnormal), fetal hydrops (30.8% abnormal), and polyhydramnios (25% abnormal). Five of 21 with CHD had chromosomal defects and eight had extracardiac anomalies. Two of the 21 fetuses with CHD survived. Present referral indications led to the diagnosis of the most severe lesions, yet reassurance is provided to many couples with normal fetuses. Fetal echocardiography is important in the care of the fetus at risk for CHD.

[1]  L. Allan,et al.  Prenatal detection of congenital heart disease: factors affecting obstetric management and survival. , 1988, American journal of obstetrics and gynecology.

[2]  J. Boughman,et al.  Prenatal detection of cardiovascular malformations by echocardiography: an indication for cytogenetic evaluation. , 1988, American journal of obstetrics and gynecology.

[3]  J. Green,et al.  Fetal echocardiographic screening for congenital heart disease: the importance of the four-chamber view. , 1987, American journal of obstetrics and gynecology.

[4]  J. Copel,et al.  Congenital heart disease and extracardiac anomalies: associations and indications for fetal echocardiography. , 1986, American journal of obstetrics and gynecology.

[5]  J. Copel,et al.  The impact of fetal echocardiography on perinatal outcome. , 1986, Ultrasound in medicine & biology.

[6]  B. Wittmann,et al.  Fetal Echocardiography: Results in High-Risk Patients , 1986, Obstetrics and gynecology.

[7]  M. Tynan,et al.  Spectrum of congenital heart disease detected echocardiographically in prenatal life. , 1985, British heart journal.

[8]  A. Angrist,et al.  Mechanism of cardiac valvular fusion and stenosis. , 1967, American heart journal.

[9]  E. Chesser.  Termination of pregnancy , 2019, Analgesia, Anaesthesia and Pregnancy.

[10]  D. Sidi,et al.  A Close Collaboration Between Obstetricians and Pediatric Cardiologists Allows Antenatal Detection of Severe Cardiac Malformations by Two-Dimensional Echocardiography , 1986 .

[11]  D. Sahn,et al.  A proposal for referral patterns for fetal cardiac studies , 1984 .