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Accuracy of prenatal diagnosis of congenital heart defects by fetal echocardiography: a 7-year experience in a Chinese tertiary obstetric center / 中华心血管病杂志
Chinese Journal of Cardiology ; (12): 343-346, 2009.
Artigo em Chinês | WPRIM | ID: wpr-236478
ABSTRACT
<p><b>OBJECTIVE</b>To evaluate the prenatal diagnostic accuracy of fetal echocardiography for congenital heart defects.</p><p><b>METHODS</b>Fetal echocardiographic databases from 2001 to 2007 were searched for patients with a prenatal diagnosis of congenital heart defect, medical records were obtained and the prenatal echocardiographic findings were correlated with postnatal echocardiography results or autopsy findings, if the pregnancy was terminated or the fetus died in utero.</p><p><b>RESULTS</b>Prenatal diagnosis of congenital heart defects was made in 113 pregnancies at a mean gestational age of 26.8 weeks. Pathology or postnatal echocardiography was available in 79 cases (70%) and the accuracy of prenatal diagnosis was 86% (68/79). Prenatal diagnosis was accurate in 24 of 31 patients (77%) with conotruncal malformations, 26 of 27 patients (96%) with septal defects, 9 of 10 patients (90%) with valve abnormalities, and 5 of 6 patients (83%) with univentricular hearts. There were 4 false-positives and the positive predictive value was 95% (75/79).</p><p><b>CONCLUSION</b>Fetal echocardiography is a reliable tool for prenatal diagnosis of congenital heart defects despite limitations for correctly diagnosing some specific fetal heart defects.</p>
Assuntos
Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Segundo Trimestre da Gravidez / Terceiro Trimestre da Gravidez / Diagnóstico por Imagem / Ecocardiografia / Estudos Retrospectivos / Ultrassonografia Pré-Natal / Coração Fetal / Cardiopatias Congênitas Tipo de estudo: Estudo diagnóstico / Estudo observacional / Estudo prognóstico Limite: Feminino / Humanos / Gravidez Idioma: Chinês Revista: Chinese Journal of Cardiology Ano de publicação: 2009 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Segundo Trimestre da Gravidez / Terceiro Trimestre da Gravidez / Diagnóstico por Imagem / Ecocardiografia / Estudos Retrospectivos / Ultrassonografia Pré-Natal / Coração Fetal / Cardiopatias Congênitas Tipo de estudo: Estudo diagnóstico / Estudo observacional / Estudo prognóstico Limite: Feminino / Humanos / Gravidez Idioma: Chinês Revista: Chinese Journal of Cardiology Ano de publicação: 2009 Tipo de documento: Artigo