Abstract
Prenatal diagnosis of congenital heart disease has been shown to have a positive impact on postnatal morbidity and mortality for some, but not all cardiac lesions. Overall, prenatal diagnosis has a positive impact on lesions with duct-dependent systemic or pulmonary circulation and where there is failure of mixing in transposition of the great arteries. The impact on other lesions such as septal defects, tetralogy of Fallot or total anomalous pulmonary venous drainage does not show improvement of outcome based on current evidence.
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Four chamber view of the fetal heart at 19Â weeks gestation, demonstrating hypoplastic left heart syndrome (HLHS). The right ventricle is well developed and the tricuspid valve is seen to open normally. Sweeping to the well-developed arterial duct and hypoplastic aortic arch (MP4 2073 kb)
Four chamber view of the heart demonstrating ventricular disproportion secondary to coarctation of the aorta (MP4 6803 kb)
Transposition of the great arteries. The four chamber view and great arteries are balanced. The pulmonary artery arises posteriorly from the left ventricle and the aorta anteriorly from the right ventricle (MP4 742 kb)
Four chamber view of pulmonary atresia intact ventricular septum. The right ventricle is poorly functioning with evidence of endocardial fibroelastosis (EFE) (AVI 29431 kb)
Tetralogy of Fallot. The aorta overrides the ventricular septum and the pulmonary artery and arterial duct are significantly smaller than the left sided aortic arch (MP4 3758 kb)
Four chamber view of the fetal heart. Complete atrioventricular septal defect (AVSD) with a balanced ventricular view (MP4 1834 kb)
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Hunter, L.E. (2018). Impact of Prenatal Diagnosis of Congenital Heart Disease on Outcome. In: Simpson, J., Zidere, V., Miller, O.I. (eds) Fetal Cardiology. Springer, Cham. https://doi.org/10.1007/978-3-319-77461-9_16
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DOI: https://doi.org/10.1007/978-3-319-77461-9_16
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-77460-2
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