ArticleCardiovascular ultrasound2022
Fetal cardiac parameters for predicting postnatal operation type of fetuses with tetralogy of Fallot.
Article in Cardiovascular ultrasound, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Prognostic value of fetal growth and prenatal functional echocardiography in tetralogy of FALLOT.Acta obstetricia et gynecologica Scandinavica · 2026Article
- Prenatal Predictors of Early Intervention in Simple Tetralogy of Fallot: A Retrospective Multi-Centre Study.Prenatal diagnosis · 2025Article
- Three-dimensional/four-dimensional spatiotemporal image correlation morphology of the ductus arteriosus in fetuses with pulmonary atresia undergoing neonatal ductal stenting.Annals of pediatric cardiologyArticle
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Authors and funding
10 authors.
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Abstract
backgroundTo assess fetal cardiac parameters predictive of postnatal operation type in fetuses with tetralogy of Fallot (TOF).
methodsEchocardiographic 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.
resultsA 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.
conclusionFetal cardiac parameters are useful for predicting the operation type necessary for neonates with TOF.
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