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Prenatal Cardiology

Editor-in-Chief: Respondek-Liberska, Maria

Managing Editor: Slodki, Maciej / Lami, Yeo

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2353-8201
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Early neonatal surgery for congenital heart defects after prenatal diagnosis of restricted foramen ovale as the priority procedure?

Maria Respondek-Liberska
  • Corresponding author
  • Department of Diagnoses and Prevention Fetal Malformations Medical University of Lodz
  • Department of Prenatal Cardiology, Polish Mother's Memorial Hospital Research Institute
  • Email:
/ Joanna Płużańska
  • Department of Prenatal Cardiology, Polish Mother's Memorial Hospital Research Institute
/ Katarzyna Zych-Krekora
  • Department of Prenatal Cardiology, Polish Mother's Memorial Hospital Research Institute
/ Ewa Czichos
  • Department of Pathomorphology, Polish Mother's Memorial Hospital Research Institute
/ Maciej Słodki
  • Department of Prenatal Cardiology, Polish Mother's Memorial Hospital Research Institute
  • Institute of Health Sciences. The State School of Higher Professional Education in Plock
/ Jadwiga Moll
  • Department of Pathomorphology, Polish Mother's Memorial Hospital Research Institute
Published Online: 2015-12-30 | DOI: https://doi.org/10.12847/09155

Abstract

From 2012-2014 we selected fetuses who had an isolated congenital heart defect and restriction of the foramen ovale defined as its diameter of 4 mm or less, shunt across foramen ovale, V max > 70 cm/sec along with a typical harsh sound during fetal ausculation during echocardiography and reversal flow in pulmonary veins, no extracardiac anomalies, singleton pregnancies and delivery > 37 weeks of gestation. It was retrospective analysis of 16 cases: There were 10 non-survivors and 6 survivors The only significant difference between survivors and non-survivors pertained to the fraction of newborns operated on up to 11th day, which was significantly higher among the survivors (5/6 vs. 2/8, p=0.031).

Conclusions:

1) In the event of prenatal restriction of the foramen ovale early surgery by day 10 had a statistically better outcome in terms of survival compared to cases that underwent surgery at a later period at our Institute.

2) Prenatal restriction of the foramen ovale was more often related to male gender and in 75% of cases in our series had complicated follow-up: neonatal death or prolonged hospital stay.3) Information from prenatal echocardiography regarding restriction of the foramen ovale should be taken into consideration as valuable information suggesting priority for early cardiac surgery.

Keywords: prenatal restriction of the foramen ovale; early surgery; perinatal care

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About the article

Received: 2015-05-24

Accepted: 2015-09-22

Published Online: 2015-12-30

Published in Print: 2015-09-01


Citation Information: Prenatal Cardiology, ISSN (Online) 2353-8201, DOI: https://doi.org/10.12847/09155.

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© 2016. This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License. BY-NC-ND 4.0

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