International Journal of Medical Imaging

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Evaluation of Fetal Echocardiography as Antenatal Diagnostic Tool in Detection of Congenital Heart Diseases

Received: 25 September 2020    Accepted: 10 October 2020    Published: 30 October 2020
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Abstract

Congenital heart diseases (CHDs) are one of the most common fetal malformations; the aim of the present study was to assess the role of fetal echocardiography in diagnosis of CHDs. The prenatal diagnosis of CHDs has been shown to have a significant effect on prenatal and postnatal management and outcomes. The current prospective study included 80pregnant women; detailed fetal echocardiography was performed according to International Society of Ultrasound in Obstetrics and Gynecology (ISUOG) guidelines [1]. In this study the range of gestational age was between 20 – 35 weeks, (57.5%) were males and (42.5%) were females, 48 CHDs (60%) were detected in the low risk group and 32 (40%) were found in the high risk group, we found the most frequent risk factors for CHDs was positive parental consanguinity in (18 cases), multiple risk factors were found in (14 cases), there was insignificant correlation between mother age, fetal age and presence of risk factors. Our results showed that 20% of cases had associated ECAs, while 80% of cases had no associated ECAs. The most frequent CHDs encountered in our study was isolated VSDs (10%). Complete agreement was found in (85%) of cases between prenatal and postnatal echo findings. It is concluded that due to the high frequency of CHDs within the low risk pregnant females, we suggest that basic fetal echocardiography should be done for all pregnant women regardless the presence of risk factors.

DOI 10.11648/j.ijmi.20200804.12
Published in International Journal of Medical Imaging (Volume 8, Issue 4, December 2020)
Page(s) 72-83
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Fetal Echocardiography, Congenital Heart Diseases, Prenatal, Low Risk, Risk Factors

References
[1] Carvalho JS, AllanLD, Chaoui R, et al. (2013): ISUOG practice guidelines (updated): sonographic screening examination of the fetal heart. Ultrasound ObstetGynecol; 41: 348–359.
[2] Persico N, Moratalla J, Lombardi CM, et al. (2011): Fetal echocardiography at 11–13 weeks by trans-abdominal high-frequency ultrasound. Ultrasound Obstet Gynecol; 37: 296–301.
[3] Bahtiyar MO, Dulay AT, Weeks BP, et al. (2007): Prevalence of congenital heart defects in monochorionic/diamniotic twin gestations: a systematic literature review. J Ultrasound Med; 26: 1491-1498.
[4] Chen C, Yingliu Y, Yunyun R, et al. (2016): Prenatal diagnosis of CHD by fetal echocardiography in 2nd trimester. Nordic federation of socities of obstertricsand gynecology; 96: 454-463.
[5] Nitin G and Chaubal J. (2017): Fetal echocardiography. Indian J Radiol Imaging; 62: 114-151.
[6] Mottaghi H, Heidari E and Ghiasi SS. (2018): A review study on the prenatal diagnosis of congenital heart disease using fetal echocardiography. Reviews in clinical Medicine; 5: 12-15.
[7] Becker RD. (2006): Detailed screening for fetal anomalies and cardiac defects at the 11–13-week scan. Ultrasound Obstet Gynecol; 27: 613–618.
[8] Carvalho JS, Mavrides E, Shinebourne EA, et al. (2002): Improving the effectiveness of routine prenatal screening for major congenital heart defects. Heart; 88: 387–391.
[9] Radi AE, Abdelkhalek YI, Ali AH, et al. (2018): Role of Fetal Echocardiography in Diagnosis of Fetal Congenital Heart Disease. Nature and Science; 16: 89: 91.
[10] Fernándeza SG, Ramireza JA, Chouzaa MO, et al. (2019): Early fetal ultrasound screening for major congenital heart defects without Doppler. European Journal of Obstetrics, Gynecology and Reproductive Biology; 233: 93–97.
[11] Perriyanayaki BG, Adaikappan M and Lavanyakumari K. (2016): Role of fetal echocardiography in the detection of congenital heart disease. International Journal of Current Medical and Pharmaceutical Research; 10: 760-771.
[12] Sarkar S, Patra C, Dasgupta MK, et al. (2013): Prevalence of congenital anomalies in neonates and associated risk factors in a tertiary care hospital in eastern India. Journal Clinical Neonatology; 2: 131-134.
[13] Pasierb MM, Penalver JM, Vernon MM, et al. (2018): The role of regional prenatal cardiac screening for congenital heart disease: A single center experience. Congenital Heart Disease; 13: 571–577.
[14] Cha S, Kim G, Kwon BS, et al. (2012): Recent Trends in Indications of Fetal Echocardiography and Postnatal Outcomes in Fetuses Diagnosed as Congenital Heart Disease. Korean Circ J; 42: 839-844.
[15] Meyer-Wittkopf M, Cooper S and Sholler G. (2001): Correlation between fetal cardiac diagnosis by obstetric and pediatric cardiologist sonographers and comparison with postnatal findings. Ultrasound ObstetGynecol; 17: 392-397.
[16] Tashfeen K and Hamdi IM. (2013): Polyhydramnios as a predictor of adverse pregnancy outcomes. Sultan QaboosUniv Med J; 13: 57-62.
[17] Aly EA and Abd-Manaf MH. (2013): Prevalence and Risk Factors for Major Congenital Anomalies among Egyptian Women: A Four-YearStudy. The Medical Journal of Cairo University; 81: 757-762.
[18] Itsukaichi M, Serikawa T, Yoshihara K, et al. (2018): Effectiveness of fetal cardiac screening for congenital heart disease using a combination of the four-chamber view and three-vessel view during the second trimester scan. J Obstet Gynaecol Res; 44: 49-53
[19] Sharma S, Kaur N, Kaur K, et al. (2017): Role of Echocardiography in Prenatal Screening of Congenital Heart Diseases and its Correlation with Postnatal Outcome. J Clin Diagn Res; 4: 12-14.
[20] Nayak K, Chandra GS, Shetty R, et al. (2016): Evaluation of fetal echocardiography as a routine antenatal screening tool for detection of congenital heart disease. Cardiovascular Diagnosis and Therapy; 6: 44-49.
[21] El Hamid AA, Ismail GM, Eswi AS, et al. (2015): Fetal congenital anomalies among consanguineous and non-consanguineous marriage pregnant mothers attending Cairo university hospitals. Egyptian Nursing Journal; 10: 1-15.
[22] Luciane A, Edward A, Liliam C, et al. (2014): Prenatal detection of congenital heart diseases: one year survey performing a screening protocol in a single reference center in Brazil. Cardiology Research and Practice; 17: 1-5.
[23] Clur SA, Vanbrussel PM, Mathijssen IB, et al. (2011): Audit of 10 years of referrals for fetal echocardiography. Prenatal Diagnosis; 31: 1134-1140.
[24] Plesinac S, Terzic M, Stimec B, et al. (2007): Value of Fetal Echocardiography in Diagnosis of Congenital Heart Disease in a Serbian University Hospital. Int J FertilWomens Med; 52: 89-92.
[25] Zhang Y, Riehlecolarusso T, Correa A, et al. (2011): Observed prevalence of congenital heart defects from a surveillance study in China. J Ultrasound Med; 30: 989-995.
[26] Calzolari E, Garani G, Cocchi G, et al. (2003): Congenital heart defects: 15 years of experience of the Emilia-Romagna Registry (Italy). Eur J Epidemiol; 18: 773-80.
[27] Ozkutlu S, Akca T, Kafali G, et al. (2010): The results of fetal echocardiography in a tertiary center and comparison of low- and high-risk pregnancies for fetal congenital heart defects. Anatol J Cardiol; 10: 262-269.
[28] Berkley EM, Goens MB, Karr S, et al. (2009): Utility of fetal echocardiography in postnatal management of infants with prenatally diagnosed congenital heart disease. PrenatDiagn; 29: 654-658.
[29] Vanvelzen CL, Clur SA, Rijlaarsdam ME, et al. (2016): Prenatal diagnosis of congenital heart defects: accuracy and discrepancies in a multicenter cohort. Ultrasound ObstetGynecol; 47: 616–622.
[30] Sokołowski L. (2013): Attitude towards fetal echocardiography among mothers, who gave birth to newborns with congenital heart defect - the survey research. Prenat Cardio; 3: 16-21.
Author Information
  • Radio-diagnosis & Medical Imaging Department, Tanta University, Tanta, Egypt

  • Radio-diagnosis & Medical Imaging Department, Tanta University, Tanta, Egypt

  • Radio-diagnosis & Medical Imaging Department, Tanta University, Tanta, Egypt

  • Radio-diagnosis & Medical Imaging Department, Tanta University, Tanta, Egypt

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  • APA Style

    Lamees Mohamed Ghith, Rania Essam-El-Dein Mohamed Ali, Emad Mohamed Mashaly, Alshaimaa Zakarya Elshahawy. (2020). Evaluation of Fetal Echocardiography as Antenatal Diagnostic Tool in Detection of Congenital Heart Diseases. International Journal of Medical Imaging, 8(4), 72-83. https://doi.org/10.11648/j.ijmi.20200804.12

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    ACS Style

    Lamees Mohamed Ghith; Rania Essam-El-Dein Mohamed Ali; Emad Mohamed Mashaly; Alshaimaa Zakarya Elshahawy. Evaluation of Fetal Echocardiography as Antenatal Diagnostic Tool in Detection of Congenital Heart Diseases. Int. J. Med. Imaging 2020, 8(4), 72-83. doi: 10.11648/j.ijmi.20200804.12

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    AMA Style

    Lamees Mohamed Ghith, Rania Essam-El-Dein Mohamed Ali, Emad Mohamed Mashaly, Alshaimaa Zakarya Elshahawy. Evaluation of Fetal Echocardiography as Antenatal Diagnostic Tool in Detection of Congenital Heart Diseases. Int J Med Imaging. 2020;8(4):72-83. doi: 10.11648/j.ijmi.20200804.12

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  • @article{10.11648/j.ijmi.20200804.12,
      author = {Lamees Mohamed Ghith and Rania Essam-El-Dein Mohamed Ali and Emad Mohamed Mashaly and Alshaimaa Zakarya Elshahawy},
      title = {Evaluation of Fetal Echocardiography as Antenatal Diagnostic Tool in Detection of Congenital Heart Diseases},
      journal = {International Journal of Medical Imaging},
      volume = {8},
      number = {4},
      pages = {72-83},
      doi = {10.11648/j.ijmi.20200804.12},
      url = {https://doi.org/10.11648/j.ijmi.20200804.12},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.ijmi.20200804.12},
      abstract = {Congenital heart diseases (CHDs) are one of the most common fetal malformations; the aim of the present study was to assess the role of fetal echocardiography in diagnosis of CHDs. The prenatal diagnosis of CHDs has been shown to have a significant effect on prenatal and postnatal management and outcomes. The current prospective study included 80pregnant women; detailed fetal echocardiography was performed according to International Society of Ultrasound in Obstetrics and Gynecology (ISUOG) guidelines [1]. In this study the range of gestational age was between 20 – 35 weeks, (57.5%) were males and (42.5%) were females, 48 CHDs (60%) were detected in the low risk group and 32 (40%) were found in the high risk group, we found the most frequent risk factors for CHDs was positive parental consanguinity in (18 cases), multiple risk factors were found in (14 cases), there was insignificant correlation between mother age, fetal age and presence of risk factors. Our results showed that 20% of cases had associated ECAs, while 80% of cases had no associated ECAs. The most frequent CHDs encountered in our study was isolated VSDs (10%). Complete agreement was found in (85%) of cases between prenatal and postnatal echo findings. It is concluded that due to the high frequency of CHDs within the low risk pregnant females, we suggest that basic fetal echocardiography should be done for all pregnant women regardless the presence of risk factors.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - Evaluation of Fetal Echocardiography as Antenatal Diagnostic Tool in Detection of Congenital Heart Diseases
    AU  - Lamees Mohamed Ghith
    AU  - Rania Essam-El-Dein Mohamed Ali
    AU  - Emad Mohamed Mashaly
    AU  - Alshaimaa Zakarya Elshahawy
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    N1  - https://doi.org/10.11648/j.ijmi.20200804.12
    DO  - 10.11648/j.ijmi.20200804.12
    T2  - International Journal of Medical Imaging
    JF  - International Journal of Medical Imaging
    JO  - International Journal of Medical Imaging
    SP  - 72
    EP  - 83
    PB  - Science Publishing Group
    SN  - 2330-832X
    UR  - https://doi.org/10.11648/j.ijmi.20200804.12
    AB  - Congenital heart diseases (CHDs) are one of the most common fetal malformations; the aim of the present study was to assess the role of fetal echocardiography in diagnosis of CHDs. The prenatal diagnosis of CHDs has been shown to have a significant effect on prenatal and postnatal management and outcomes. The current prospective study included 80pregnant women; detailed fetal echocardiography was performed according to International Society of Ultrasound in Obstetrics and Gynecology (ISUOG) guidelines [1]. In this study the range of gestational age was between 20 – 35 weeks, (57.5%) were males and (42.5%) were females, 48 CHDs (60%) were detected in the low risk group and 32 (40%) were found in the high risk group, we found the most frequent risk factors for CHDs was positive parental consanguinity in (18 cases), multiple risk factors were found in (14 cases), there was insignificant correlation between mother age, fetal age and presence of risk factors. Our results showed that 20% of cases had associated ECAs, while 80% of cases had no associated ECAs. The most frequent CHDs encountered in our study was isolated VSDs (10%). Complete agreement was found in (85%) of cases between prenatal and postnatal echo findings. It is concluded that due to the high frequency of CHDs within the low risk pregnant females, we suggest that basic fetal echocardiography should be done for all pregnant women regardless the presence of risk factors.
    VL  - 8
    IS  - 4
    ER  - 

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