Cyanotic Congenital Heart Disease Modes of Presentation and Prenatal Detection.
Journal
Irish medical journalPubMed ID
32129953Abstract
Prenatal detection of structural congenital heart disease (CHD) optimises cardiovascular stability pre-operatively and post-operative outcomes. We compared prenatal detection rates of critical CHD in units offering universal fetal anomaly scans with those offering imaging to selected women. One hundred and thirteen infants met inclusion criteria. The overall pre-natal detection rate for critical CHD was 57% of liveborn infants. It was 71% (57/80) in hospitals who offered a universal anomaly scan and 29% (9/31) in centres offering a limited service. Postnatal diagnosis was associated with PICU admission (p=0.016) and preoperative mechanical ventilation (p=0.001). One-year mortality was 10 fold higher in the postnatally diagnosed group 15% vs 1.55% (p=0.0066). There is a significant disparity between centres offering universal anomaly versus selective screening. Prenatal detection confers advantage in terms of pre-operative stability and one year survival. Failure to deliver an equitable service exposes infants with CHD to avoidable risk. Abreviations CHD, congenital heart disease; PICU, paediatric intensive care unit; NWIHP, National Women and Infants Health Programme; NCHC, CHIC, National Children’s Heart Centre at Children’s Health Ireland at Crumlin; TAPVD, total anomalous pulmonary venous drainage, HLHD, Hypoplastic left heart disease, HRHD, Hypoplastic right heart disease, LVOTO, left ventricular outflow tract obstruction.Item Type
ArticleLanguage
enISSN
0332-3102Collections
Related articles
- Major congenital heart disease in Northern Norway: shortcomings of pre- and postnatal diagnosis.
- Authors: Acharya G, Sitras V, Maltau JM, Dahl LB, Kaaresen PI, Hanssen TA, Lunde P
- Issue date: 2004 Dec
- Does a prenatal diagnosis of congenital heart disease alter short-term outcome?
- Authors: Copel JA, Tan AS, Kleinman CS
- Issue date: 1997 Oct
- Does prenatal diagnosis of critical congenital heart diseases influence the prereferral mortality in a center without surgical intervention?
- Authors: Özer Bekmez B, Alyamaç Dizdar E, Okur N, Büyüktiryaki M, Uraş N, Oğuz SS
- Issue date: 2019 Oct
- Comparison of the 1-year survival rate in infants with congenital heart disease diagnosed by prenatal and postnatal ultrasound: A retrospective study.
- Authors: Han B, Tang Y, Qu X, Deng C, Wang X, Li J
- Issue date: 2021 Jan 29
- Impact of introduction of 20-week ultrasound scan on prevalence and fetal and neonatal outcomes in cases of selected severe congenital heart defects in The Netherlands.
- Authors: Baardman ME, du Marchie Sarvaas GJ, de Walle HE, Fleurke-Rozema H, Snijders R, Ebels T, Bergman JE, Bilardo CM, Berger RM, Bakker MK
- Issue date: 2014 Jul