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.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsReferences
Pedra SF, Peralta CF, Pedra CAC. Future directions of fetal interventions in congenital heart disease. Interv Cardiol Clin. 2013;2:1–10.
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.
Moon-Grady AJ, Morris SA, Belfort M, Chmait R, Dangel J, Devlieger R, Emery S, Frommelt M, Galindo A, Gelehrter S, Gembruch U, Grinenco S, Habli M, Herberg U, Jaeggi E, Kilby M, Kontopoulos E, Marantz P, Miller O, Otaño L, Pedra C, Pedra S, Pruetz J, Quintero R, Ryan G, Sharland G, Simpson J, Vlastos E, Tworetzky W, Wilkins-Haug L, Oepkes D. International fetal cardiac intervention registry: a worldwide collaborative description and preliminary outcomes. J Am Coll Cardiol. 2015;66(4):388–99.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2019 Springer International Publishing AG, part of Springer Nature
About this chapter
Cite this chapter
Pedra, C.A.C., Pedra, S.F., Fabio Peralta, C. (2019). Fetal Cardiac Interventions. In: Butera, G., Chessa, M., Eicken, A., Thomson, J.D. (eds) Atlas of Cardiac Catheterization for Congenital Heart Disease. Springer, Cham. https://doi.org/10.1007/978-3-319-72443-0_9
Download citation
DOI: https://doi.org/10.1007/978-3-319-72443-0_9
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-72442-3
Online ISBN: 978-3-319-72443-0
eBook Packages: MedicineMedicine (R0)