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Fetal cardiac parameters for predicting postnatal operation type of fetuses with tetralogy of Fallot
BACKGROUND: To assess fetal cardiac parameters predictive of postnatal operation type in fetuses with tetralogy of Fallot (TOF). METHODS: Echocardiographic data obtained in the second and third trimesters were retrospectively reviewed for fetuses diagnosed with TOF between 2014 and 2018 at Asan Medi...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8859889/ https://www.ncbi.nlm.nih.gov/pubmed/35189903 http://dx.doi.org/10.1186/s12947-022-00274-5 |
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author | Park, Suyeon Won, Hye-Sung Kim, Rina Kim, Mijin Yu, Jeong Jin Park, Chun Soo Yun, Tae-Jin Jung, Yewon Al Harbi, Usamah Lee, Mi-Young |
author_facet | Park, Suyeon Won, Hye-Sung Kim, Rina Kim, Mijin Yu, Jeong Jin Park, Chun Soo Yun, Tae-Jin Jung, Yewon Al Harbi, Usamah Lee, Mi-Young |
author_sort | Park, Suyeon |
collection | PubMed |
description | BACKGROUND: To assess fetal cardiac parameters predictive of postnatal operation type in fetuses with tetralogy of Fallot (TOF). METHODS: Echocardiographic data obtained in the second and third trimesters were retrospectively reviewed for fetuses diagnosed with TOF between 2014 and 2018 at Asan Medical Center. The following fetal cardiac parameters were analyzed: 1) pulmonary valve annulus (PVA) z-score, 2) right pulmonary artery (RPA) z-score, 3) aortic valve annulus (AVA) z-score, 4) pulmonary valve peak systolic velocity (PV-PSV), 5) PVA/AVA ratio, and 6) RPA/descending aorta (DAo) ratio. These cardiac parameters were compared between a primary corrective surgery group and a palliative shunt operation followed by complete repair group. RESULTS: A total of 100 fetuses with TOF were included. Only one neonatal death occurred. Ninety patients underwent primary corrective surgery and 10 neonates underwent a multistage surgery. The PVA z-score, RPA z-score, and RPA/DAo ratio measured in the second trimester and the PVA z-score, RPA z-score, and PVA/AVA raio measured in the third trimester were significantly lower in the multistage surgery group, while the PV-PSV as measured in both trimesters were significantly higher in the multistage surgery group. CONCLUSION: Fetal cardiac parameters are useful for predicting the operation type necessary for neonates with TOF. |
format | Online Article Text |
id | pubmed-8859889 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-88598892022-02-23 Fetal cardiac parameters for predicting postnatal operation type of fetuses with tetralogy of Fallot Park, Suyeon Won, Hye-Sung Kim, Rina Kim, Mijin Yu, Jeong Jin Park, Chun Soo Yun, Tae-Jin Jung, Yewon Al Harbi, Usamah Lee, Mi-Young Cardiovasc Ultrasound Research BACKGROUND: To assess fetal cardiac parameters predictive of postnatal operation type in fetuses with tetralogy of Fallot (TOF). METHODS: Echocardiographic data obtained in the second and third trimesters were retrospectively reviewed for fetuses diagnosed with TOF between 2014 and 2018 at Asan Medical Center. The following fetal cardiac parameters were analyzed: 1) pulmonary valve annulus (PVA) z-score, 2) right pulmonary artery (RPA) z-score, 3) aortic valve annulus (AVA) z-score, 4) pulmonary valve peak systolic velocity (PV-PSV), 5) PVA/AVA ratio, and 6) RPA/descending aorta (DAo) ratio. These cardiac parameters were compared between a primary corrective surgery group and a palliative shunt operation followed by complete repair group. RESULTS: A total of 100 fetuses with TOF were included. Only one neonatal death occurred. Ninety patients underwent primary corrective surgery and 10 neonates underwent a multistage surgery. The PVA z-score, RPA z-score, and RPA/DAo ratio measured in the second trimester and the PVA z-score, RPA z-score, and PVA/AVA raio measured in the third trimester were significantly lower in the multistage surgery group, while the PV-PSV as measured in both trimesters were significantly higher in the multistage surgery group. CONCLUSION: Fetal cardiac parameters are useful for predicting the operation type necessary for neonates with TOF. BioMed Central 2022-02-21 /pmc/articles/PMC8859889/ /pubmed/35189903 http://dx.doi.org/10.1186/s12947-022-00274-5 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Park, Suyeon Won, Hye-Sung Kim, Rina Kim, Mijin Yu, Jeong Jin Park, Chun Soo Yun, Tae-Jin Jung, Yewon Al Harbi, Usamah Lee, Mi-Young Fetal cardiac parameters for predicting postnatal operation type of fetuses with tetralogy of Fallot |
title | Fetal cardiac parameters for predicting postnatal operation type of fetuses with tetralogy of Fallot |
title_full | Fetal cardiac parameters for predicting postnatal operation type of fetuses with tetralogy of Fallot |
title_fullStr | Fetal cardiac parameters for predicting postnatal operation type of fetuses with tetralogy of Fallot |
title_full_unstemmed | Fetal cardiac parameters for predicting postnatal operation type of fetuses with tetralogy of Fallot |
title_short | Fetal cardiac parameters for predicting postnatal operation type of fetuses with tetralogy of Fallot |
title_sort | fetal cardiac parameters for predicting postnatal operation type of fetuses with tetralogy of fallot |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8859889/ https://www.ncbi.nlm.nih.gov/pubmed/35189903 http://dx.doi.org/10.1186/s12947-022-00274-5 |
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