Objectives Our aim was to assess the accuracy of a simplified fetal cardiac study, inclusive of four-chamber view (4CV)and ventricular outflow tracts, performed during the 11–14 week screening by well-trained obstetricians to detectcongenital heart diseases (CHDs).Methods A transabdominal ultrasound was performed on 4820 singleton pregnant women at 11–14 weeks to visualizethe visceral site, the 4CV, and the outflow tracts. Neonatal outcomes were recorded 6 and 12 months after birth.Results Among the 4820 patients reviewed, 790 were excluded because of loss at prenatal or postnatal follow-up (649cases), or inability to obtain adequate first-trimester sonographic cardiac evaluation (141 cases). Among the 4030included cases, 32 CHD cases were detected (20 major and 12 minor); 18 of the major (90%) and five of the minor(42%) were detected or suspected in the first trimester, one major and six minor in the second trimester, and onemajor and one minor only after birth.Conclusions A simplified protocol is an effective tool to screen for CHD at 11–14 weeks.
|Numero di pagine||6|
|Stato di pubblicazione||Published - 2014|
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