Fetal cardiac parameters for predicting postnatal operation type of fetuses with tetralogy of Fallot.

IF 1.9 3区医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Cardiovascular Ultrasound Pub Date : 2022-02-21 DOI:10.1186/s12947-022-00274-5

Suyeon Park, Hye-Sung Won, Rina Kim, Mijin Kim, Jeong Jin Yu, Chun Soo Park, Tae-Jin Yun, Yewon Jung, Usamah Al Harbi, Mi-Young Lee

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Abstract

Background: To assess fetal cardiac parameters predictive of postnatal operation type in fetuses with tetralogy of Fallot (TOF).

Methods: Echocardiographic data obtained in the second and third trimesters were retrospectively reviewed for fetuses diagnosed with TOF between 2014 and 2018 at Asan Medical Center. The following fetal cardiac parameters were analyzed: 1) pulmonary valve annulus (PVA) z-score, 2) right pulmonary artery (RPA) z-score, 3) aortic valve annulus (AVA) z-score, 4) pulmonary valve peak systolic velocity (PV-PSV), 5) PVA/AVA ratio, and 6) RPA/descending aorta (DAo) ratio. These cardiac parameters were compared between a primary corrective surgery group and a palliative shunt operation followed by complete repair group.

Results: A total of 100 fetuses with TOF were included. Only one neonatal death occurred. Ninety patients underwent primary corrective surgery and 10 neonates underwent a multistage surgery. The PVA z-score, RPA z-score, and RPA/DAo ratio measured in the second trimester and the PVA z-score, RPA z-score, and PVA/AVA raio measured in the third trimester were significantly lower in the multistage surgery group, while the PV-PSV as measured in both trimesters were significantly higher in the multistage surgery group.

Conclusion: Fetal cardiac parameters are useful for predicting the operation type necessary for neonates with TOF.

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胎儿心脏参数预测法洛四联症胎儿术后手术类型。

背景:评估胎儿心脏参数对法洛四联症(TOF)胎儿术后手术类型的预测。方法:回顾性分析2014年至2018年峨山医疗中心诊断为TOF的妊娠中期和晚期超声心动图资料。分析胎儿心脏参数:1)肺动脉环(PVA) z-评分，2)右肺动脉(RPA) z-评分，3)主动脉环(AVA) z-评分，4)肺动脉瓣峰值收缩速度(PV-PSV)， 5) PVA/AVA比值，6)RPA/降主动脉(DAo)比值。这些心脏参数比较了初级矫正手术组和姑息性分流手术后完全修复组。结果:共纳入100例TOF胎儿。仅发生1例新生儿死亡。90例患者接受了初级矫正手术，10例新生儿接受了多阶段手术。多期手术组妊娠中期PVA z-score、RPA z-score、RPA/DAo比值及妊娠晚期PVA z-score、RPA z-score、PVA/AVA比值均显著低于多期手术组，而多期手术组妊娠中期PVA - psv均显著高于多期手术组。结论:胎儿心脏参数有助于预测TOF患儿手术方式。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Cardiovascular Ultrasound CARDIAC & CARDIOVASCULAR SYSTEMS-

CiteScore

4.10

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： Cardiovascular Ultrasound is an online journal, publishing peer-reviewed: original research; authoritative reviews; case reports on challenging and/or unusual diagnostic aspects; and expert opinions on new techniques and technologies. We are particularly interested in articles that include relevant images or video files, which provide an additional dimension to published articles and enhance understanding. As an open access journal, Cardiovascular Ultrasound ensures high visibility for authors in addition to providing an up-to-date and freely available resource for the community. The journal welcomes discussion, and provides a forum for publishing opinion and debate ranging from biology to engineering to clinical echocardiography, with both speed and versatility.