Evidence map›Paper›PMID 33864014›Full record

ReviewPediatric research2022

Neuroplacentology in congenital heart disease: placental connections to neurodevelopmental outcomes.

Rachel L Leon, Imran N Mir, Christina L Herrera, Kavita Sharma, Catherine Y Spong, Diane M Twickler, Lina F Chalak

Open access · hybridAbstract readReview
In one paragraph

Review in Pediatric research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed
6.3field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 62 citations in OpenAlex.

  1. Trial
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  4. Brain volumes in fetuses with congenital heart disease and placental vascular abnormalities.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Rachel L LeonDepartment of Pediatrics, University of Texas Southwestern Medical Center, Dallas, TX, USA. Rachel.Leon@UTSouthwestern.edu.ORCID http://orcid.org/0000-0001-9193-675X
Imran N MirDepartment of Pediatrics, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Christina L HerreraDepartment of Obstetrics and Gynecology, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Kavita SharmaDepartment of Pediatrics, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Catherine Y SpongDepartment of Obstetrics and Gynecology, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Diane M TwicklerDepartment of Obstetrics and Gynecology, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Lina F ChalakDepartment of Pediatrics, University of Texas Southwestern Medical Center, Dallas, TX, USA.
The University of Texas Southwestern Medical Center · USParkland Health & Hospital System · USSouthwestern Medical Center · US

Funding

UT Southwestern Center for Translational MedicineKL2TR003981 · NCATS · UT SOUTHWESTERN MEDICAL CENTER · PI ARGENBRIGHT, KEITH EDWARD, TRIVEDI, MADHUKAR H. · 2021 to 2025
$5.9M
6 · The paper itself

Abstract

Children with congenital heart disease (CHD) are living longer due to effective medical and surgical management. However, the majority have neurodevelopmental delays or disorders. The role of the placenta in fetal brain development is unclear and is the focus of an emerging field known as neuroplacentology. In this review, we summarize neurodevelopmental outcomes in CHD and their brain imaging correlates both in utero and postnatally. We review differences in the structure and function of the placenta in pregnancies complicated by fetal CHD and introduce the concept of a placental inefficiency phenotype that occurs in severe forms of fetal CHD, characterized by a myriad of pathologies. We propose that in CHD placental dysfunction contributes to decreased fetal cerebral oxygen delivery resulting in poor brain growth, brain abnormalities, and impaired neurodevelopment. We conclude the review with key areas for future research in neuroplacentology in the fetal CHD population, including (1) differences in structure and function of the CHD placenta, (2) modifiable and nonmodifiable factors that impact the hemodynamic balance between placental and cerebral circulations, (3) interventions to improve placental function and protect brain development in utero, and (4) the role of genetic and epigenetic influences on the placenta-heart-brain connection. IMPACT: Neuroplacentology seeks to understand placental connections to fetal brain development. In fetuses with CHD, brain growth abnormalities begin in utero. Placental microstructure as well as perfusion and function are abnormal in fetal CHD.

Indexed as

Fetal DiseasesHeart Defects, CongenitalPlacenta DiseasesFemaleFetal DevelopmentFetusHumansPlacentaPregnancy

Identifiers

PMID33864014
PMCPMC9064799
OpenAlexW3154055754

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.