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Fetal Cardiac Interventions

  • Carlos A. C. Pedra
  • Simone F. Pedra
  • C. Fabio Peralta
Chapter

Abstract

In the last 15–20 years, fetal cardiac interventions have become an accepted therapeutic modality for some complex congenital heart diseases (CHD) in utero, including aortic stenosis (AS) and evolving hypoplastic left heart syndrome (HLHS), HLHS with intact or highly restrictive interatrial septum (IAS), and pulmonary atresia (PA) or critical pulmonary stenosis (CPS) with intact ventricular septum (IVS) and evolving hypoplastic right heart syndrome (HRHS). The purpose of a fetal cardiac intervention is to remodel cardiac morphology and function and improve pre- and postnatal outcomes. Increased survival rates, reduced morbidity, and increased likelihood of achieving a biventricular (BV) circulation may all result from a successful fetal cardiac intervention in some scenarios. The objective of this chapter is to give an overview of these procedures with emphasis on pictures to illustrate how they are performed in a step-to-step fashion.

References

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    Pedra SR, Peralta CF, Crema L, Jatene IB, da Costa RN, Pedra CA. Fetal interventions for congenital heart disease in Brazil. Pediatr Cardiol. 2014;35:399–405.CrossRefGoogle Scholar
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Copyright information

© Springer International Publishing AG, part of Springer Nature 2019

Authors and Affiliations

  • Carlos A. C. Pedra
    • 1
  • Simone F. Pedra
    • 2
  • C. Fabio Peralta
    • 3
  1. 1.Catheterization Laboratory and Hybrid Room for Congenital Heart DiseaseInstituto Dante Pazzanese de Cardiologia and Hospital do Coração da Associação Sanatório SírioSao PauloBrazil
  2. 2.Echocardiography Laboratory for Congenital Heart DiseaseInstituto Dante Pazzanese de Cardiologia and Hospital do Coração da Associação Sanatório SírioSao PauloBrazil
  3. 3.Fetal Medicine ProgramHospital do Coração da Associação Sanatório SirioSao PauloBrazil

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