Portal de Periódicos da CAPES

Prenatal detection of congenital heart disease: Factors affecting obstetric management and survival

1988; Elsevier BV; Volume: 159; Issue: 2 Linguagem: Inglês

10.1016/s0002-9378(88)80083-8

1097-6868

Diane Crawford, Sunder Chita, Lindsey D. Allan,

Cardiac Structural Anomalies and Repair

Our recent experience in the diagnosis and management of fetal congenital heart disease is presented. During an 18-month period from January 1985 to June 1986, 1757 fetal echocardiograms were performed on a total of 989 antenatal patients. Cardiac anomalies were accurately predicted in 74 cases, 34 of which were associated with extracardiac or chromosomal anomalies. Twenty-three pregnancies were electively terminated. Currently the survival rate for ongoing pregnancies is 17%. A false negative diagnosis was made in 16 cases, the majority involving minor anomalies with a good prognosis and a survival rate of 81 %. Prenatal detection of congenital heart disease places the fetus at high risk for chromosomal and extracardiac anomalies. Congenital heart disease detectable during pregnancy is usually severe and associated with a poor long-term prognosis. Termination of the pregnancy may be a reasonable option if a severe anomaly is detected early in pregnancy.