Consequences of Fetal Cardiac Anomalies: A Two-Year Experience in a Tertiary Perinatology Center
Background: This study aimed to analyze prenatally diagnosed fetal cardiac anomaly cases in a tertiary center with respect to the incidence, type of anomalies, and rate of correct diagnosis based on postnatal diagnosis (by comparing pre- versus post-natal diagnosis). Methods: In this retrospective s...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
IMR Press
2024-05-01
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| Series: | Clinical and Experimental Obstetrics & Gynecology |
| Subjects: | |
| Online Access: | https://www.imrpress.com/journal/CEOG/51/6/10.31083/j.ceog5106136 |
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| Summary: | Background: This study aimed to analyze prenatally diagnosed fetal cardiac anomaly cases in a tertiary center with respect to the incidence, type of anomalies, and rate of correct diagnosis based on postnatal diagnosis (by comparing pre- versus post-natal diagnosis). Methods: In this retrospective study, the data of 250 patients diagnosed with fetal cardiac abnormalities who were evaluated in a perinatology department between January 2021 and May 2023 were analyzed. Results: A total of 250 cases were in our study with a mean maternal age of 27.6 ± 5.1 years and a median gestational week of first assessment at our center of 27 weeks (14–39 weeks). Ventricular septal defect (37 cases, 14.8%) was the most common fetal cardiac anomaly detected prenatally in this study while corrected transposition of the great arteries (L-TGA), left ventricle hypoplasia, coarctation of aorta (CoA) and situs inversus were the least common. Termination of pregnancy was performed in 21 cases (3.1%) and 3 fetuses died antenattally during pregnancy follow-up. While genetic testing was performed in 49 cases (19.6%), chromosomal abnormalities were found in 15 cases (6%). Postnatally, a detailed follow-up was available for 141 cases (56%) and prenatal diagnosis was confirmed in 101 cases. The accuracy rate for prenatal and postnatal diagnoses was 71.63%. Conclusions: Detailed ultrasound examination of the fetal heart identifies more than 2/3 of fetuses complicated with major cardiac pathology. In addition, a systematic approach to these abnormalities aids in identifying the accurate diagnosis of isolated cardiac defects, connected with other systems or a part of a syndrome. A comprehensive examination of anatomical scans might play a crucial role in enhancing diagnostic accuracy. |
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| ISSN: | 0390-6663 |