Accuracy of the Fetal Echocardiogram in Double-outlet Right Ventricle
dc.contributor.author | Gelehrter, Sarah | en_US |
dc.contributor.author | Owens, Sonal T. | en_US |
dc.contributor.author | Russell, Mark W. | en_US |
dc.contributor.author | van der Velde, Mary E. | en_US |
dc.contributor.author | Gomez-Fifer, Carlen A. | en_US |
dc.date.accessioned | 2010-06-01T21:10:03Z | |
dc.date.available | 2010-06-01T21:10:03Z | |
dc.date.issued | 2007-01 | en_US |
dc.identifier.citation | Gelehrter, Sarah; Owens, Sonal T.; Russell, Mark W.; van der Velde, Mary E.; Gomez-Fifer, Carlen (2007). "Accuracy of the Fetal Echocardiogram in Double-outlet Right Ventricle." Congenital Heart Disease 2(1): 32-37. <http://hdl.handle.net/2027.42/74249> | en_US |
dc.identifier.issn | 1747-079X | en_US |
dc.identifier.issn | 1747-0803 | en_US |
dc.identifier.uri | https://hdl.handle.net/2027.42/74249 | |
dc.identifier.uri | http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=18377514&dopt=citation | en_US |
dc.description.abstract | Objective. Double-outlet right ventricle (DORV) is a complex congenital heart defect with heterogeneous anatomy. Patients require a variety of surgical interventions, and the long-term prognosis is variable. Therefore, accurate prenatal diagnosis is important in providing parents with appropriate counseling. Design. Medical records were reviewed in patients with a diagnosis of DORV who had fetal echocardiography at our institution from 1998 to 2004. Pre- and postnatal diagnoses were compared, anticipated surgical procedure was compared with surgery performed, and neonatal outcome was assessed. Results. The study group consisted of 49 fetal patients with 6 in utero deaths (including 4 terminations), 2 patients lost to follow-up, and 41 live births. Postnatal echocardiograms or autopsy results were available on 42 patients. The overall accuracy of fetal echocardiography in making a correct diagnosis of DORV was 76%. Accurate prenatal prediction of the type of cardiac surgery that would be performed was made in 91% of patients who had surgery. Among live births, survival to hospital discharge was 76%. Survival was 50% in patients with extracardiac or chromosomal anomalies, compared with 92% in infants without additional anomalies. Conclusion. In most cases, careful evaluation by fetal echocardiography can determine essential anatomic details in fetuses with DORV with enough accuracy to allow for accurate counseling regarding the type of surgery needed. Survival is better than previously reported but is poor in patients with extracardiac or chromosomal abnormalities. | en_US |
dc.format.extent | 200829 bytes | |
dc.format.extent | 3109 bytes | |
dc.format.mimetype | application/pdf | |
dc.format.mimetype | text/plain | |
dc.publisher | Blackwell Publishing Inc | en_US |
dc.rights | © 2007, the Authors; Journal compilation © 2007, Blackwell Publishing, Inc. | en_US |
dc.subject.other | Fetal Echocardiography | en_US |
dc.subject.other | Double-outlet Right Ventricle | en_US |
dc.subject.other | Congenital Heart Disease | en_US |
dc.title | Accuracy of the Fetal Echocardiogram in Double-outlet Right Ventricle | en_US |
dc.type | Article | en_US |
dc.subject.hlbsecondlevel | Internal Medicine and Specialties | en_US |
dc.subject.hlbtoplevel | Health Sciences | en_US |
dc.description.peerreviewed | Peer Reviewed | en_US |
dc.identifier.pmid | 18377514 | en_US |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/74249/1/j.1747-0803.2007.00069.x.pdf | |
dc.identifier.doi | 10.1111/j.1747-0803.2007.00069.x | en_US |
dc.identifier.source | Congenital Heart Disease | en_US |
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dc.identifier.citedreference | Smith RS, Comstock CH, Kirk JS, Lee W, Riggs T, Weinhouse E. Double-outlet right ventricle: an antenatal diagnostic dilemma. Ultrasound Obstet Gynecol. 1999; 14: 315 – 319. | en_US |
dc.identifier.citedreference | Tometzki AJ, Suda K, Kohl T, Kovalchin JP, Silverman NH. Accuracy of prenatal echocardiographic diagnosis and prognosis of fetuses with conotruncal anomalies. J Am Coll Cardiol. 1999; 33: 1696 – 1701. | en_US |
dc.identifier.citedreference | Walters HL, Mavroudis C, Tchervenkov CI, Jacobs JP, Lacour-Gayet F, Jacobs ML. Congenital Heart Surgery Nomenclature and Database Project: double outlet right ventricle. Ann Thorac Surg. 2000; 69: S249 – S263. | en_US |
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dc.owningcollname | Interdisciplinary and Peer-Reviewed |
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