Article Sidebar

PDF
Date Published: 15/06/2022
Online Published: 30/12/2020
Abstract Views: 235
Views PDF: 96
DOI: https://doi.org/10.55046/vjrnm.41.169.2020
Issue
No. 41 (2020)
Section
Scientific research
How to Cite
Le, T. T. T., Pham, M. T., Tran, D. C., & Pham, C. M. (2020). Role of ultrasound in prenatal diagnosis of congenital heart defects. Vietnamese Journal of Radiology and Nuclear Medicine, 41, 17-24. https://doi.org/10.55046/vjrnm.41.169.2020

Role of ultrasound in prenatal diagnosis of congenital heart defects

Dr Le Thi Thuy Trang1,, Professor Pham Minh Thong2, Dr Tran Danh Cuong1, Dr Pham Chi Mai1
1 Maternity hospital center
2 Hanoi Medical University

Main Article Content

Abstract

Purpose: Role of prenatal ultrasonographic in diagnostic of
congenital heart defects
Subjects and methods: Descriptive study on 98 fetuses diagnosed
congenital heart defects (CHDs) from August 2018 to September 2020 at
National Obstetric and Gynecology. 50 cases with live birth, 22 cases of
pregnancy termination, 4 cases of perinatal mortality, 22 cases of losing
follow-up. The patient was performed an prenatal fetal heart ultrasound
and follow the outcome.
Result: The mean maternal age was 28.5 ± 9.4 yrs old, the mean
gestational age at the time of prenatal diagnosis of CHD was 28 ± 6,4
weeks. CHDs accounts for a high proportion on prenatal ultrasound:
ventricular septal defect (VSD), atrioventricular septal defect (AVSD) and
the double outlet right ventricle (DORV) account for 14-15% of CHDs.
The mild CHD account for 27.6%, critical CHD was 72.4%. Accuracy
of prenatal echocardiography diagnosis was 88%. The severity of CHDs
prenatal ultrasound affects pregnancy outcome (p<0.05).
Conclusion: Fetal echocardiography has high accuracy in prenatal
diagnosis of CHDs. The severity of CHDs in prenatal ultrasou impact on pregnancy outcome.

Article Details

Keywords

Fetal echocardiography, congenital heart defects.

References

1. Abuhamad AZ. A Practical Guide to Fetal chocardiography: Normal and Abnormal Hearts. Published online 2016:49–66.
2. Qiu X, Weng Z, Liu M, và c.s. Prenatal diagnosis and pregnancy outcomes of 1492 fetuses with congenital heart disease: role of multidisciplinary-joint consultation in prenatal diagnosis. Sci Rep. 2020;10(1):1–11. doi:10.1038/s41598-020-64591-3
3. Tuyến LK. Vai trò của siêu âm tim thai trong chẩn đoán BTBS trước sinh. đề tài nghiên cứu sinh. Published online 2014.
4. Đặng Tuấn A. Đối chiếu kết quả chẩn đoán trước sinh và sau sinh bệnh tim bẩm sinh ở trẻ sơ sinh tại bệnh viện Phụ Sản Trung Ương. Luận văn thạc sỹ. Trường Đại học Y Hà Nội. Published online 2018.
5. The International Society of Ultrasound in Obstetrics. ISUOG Practice Guidelines (updated): sonographic
screening examination of the fetal heart. Ultrasound Obstet Gynecol. 2013;41(3):348–359. doi:10.1002/uog.12403
6. Lee JE, Jung KL, Kim SE, và c.s. Prenatal diagnosis of congenital heart disease: Trends in pregnancy termination
rate, and perinatal and 1-year infant mortalities in Korea between 1994 and 2005. J Obstet Gynaecol Res.
2010;36(3):474–478. doi:10.1111/j.1447-0756.2010.01222.x
7. Dolk H, Loane M, Garne E. Congenital heart defects in Europe: Prevalence and perinatal mortality, 2000 to
2005. Circulation. 2011;123(8):841–849. doi:10.1161Circulation AHA.110.958405
8. G.K.Sharrland. Normal fetal cardiac measurement derived by cross-sectional echocardiography (1992). Published online 1992.
9. Hashim ST, Alamri RA, Bakraa R, Rawas R, Farahat F, Waggass R. The Association Between Maternal Age
and the Prevalence of Congenital Heart Disease in Newborns from 201