Application value of fetal echocardiography in diagnosis and prognosis assessment of anomalous pulmonary venous connection (APVC)
10.3760/cma.j.issn.1004-4477.2017.05.008
- VernacularTitle:胎儿超声心动图在肺静脉畸形引流诊断及预后评估中的应用价值
- Author:
Peng XU
;
Jun LI
;
Zheng WANG
;
Yin WANG
;
Wenjuan YANG
;
Ting ZHU
;
Shen PANG
- Keywords:
Echocardiography;
Fetus;
Anomalous pulmonary venous connection;
Prognosis assessment
- From:
Chinese Journal of Ultrasonography
2017;26(5):403-409
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the application value of fetal echocardiography for the diagnosis and prognosis assessment of anomalous pulmonary venous connection (APVC),by comparing the results of prenatal diagnosis of APVC by ultrasound and follow-up.Methods Eighty-one APVC fetuses diagnosed by fetal echocardiography were followed up regularly.These results were compared with postnatal ultrasound diagnosis,operation and anatomy.The main points of methodology and differential diagnosis were summarized.Results Eighty-one APVC fetuses included 68 cases of total APVC(31 cases of supracardiac type,15 cases of intracardiac type,22 cases of infracardiac type),13 cases of Partial APVC(2 cases of supracardiac type,10 cases of intracardiac type,1 case of infracardiac type);12 cases of isolated APVC,69 cases of complex APVC(combined with other cardiovascular abnormalities);6 cases were born(4 infants of isolated APVC survived after operation,2 infants of complex APVC died),2 cases were ongoing pregnancy,71 cases were aborted (30 cases were dissected),2 cases were lost to follow-up.Conclusions Fetal echocardiography has important application value in diagnosis and prognosis assessment of APVC and the ones with other cardiovascular abnormalities.
