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Indications for Fetal Pulmonary Valvuloplasty

  • Roland GitterEmail author
  • Wolfgang Arzt
  • Gerald Tulzer
Chapter

Abstract

In parallel to the interventions on the aortic valve, pulmonary valvuloplasty in utero may follow two different indications. The first is to simply ensure fetal survival by reversing fetal hydrops caused by severe right-ventricular decompensation. The second and more ambitious goal is reducing fetal morbidity, by promoting intrauterine growth on ventricular, valvular, and vascular level so as to avoid the development of a functionally univentricular heart. The achievements of these goals depend on an evidence-based selection of suitable candidates, on the level of expertise and cooperation of the team performing the intervention, and on the availability of adequate technical equipment. In light of improving results of postnatal treatment ranging from postnatal dilatation, radio-frequency perforation of atretic valves, and surgical strategies of one-and-a-half heart or univentricular course, only limited types of lesions have the potential to benefit from prenatal interventions.

Keywords

Pulmonary Valve Prenatal Intervention Fetal Hydrops Fetal Morbidity Univentricular Heart 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

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    Roman K, Fouron JC, Nii N, Smallhorn J, Chaturvedi R, Jaeggi E. Determinants of outcome in fetal pulmonary valve stenosis or atresia with intact ventricular septum. Am J Cardiol. 2007;99:699–703.CrossRefPubMedGoogle Scholar
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    Gomez Montes E, Herraiz I, Mendoza A, Galindo A. Fetal intervention in right outflow tract obstructive disease: selection of candidates and results. Cardiol Res Pract. 2012;2012:592403.PubMedPubMedCentralGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  1. 1.Department of Pediatric CardiologyChildren’s Heart Center Linz, Kepler University Hospital LinzLinzAustria
  2. 2.Institute of Prenatal MedicineKepler University Hospital LinzLinzAustria

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