Intrauterine therapy for structural congenital heart disease: Contemporary results and Canadian experience

Edgar Jaeggi; Claudia Renaud; Greg Ryan; Rajiv Chaturvedi

doi:10.1016/j.tcm.2016.04.006

Intrauterine therapy for structural congenital heart disease: Contemporary results and Canadian experience

Trends Cardiovasc Med. 2016 Oct;26(7):639-46. doi: 10.1016/j.tcm.2016.04.006. Epub 2016 Apr 22.

Authors

Edgar Jaeggi¹, Claudia Renaud², Greg Ryan³, Rajiv Chaturvedi⁴

Affiliations

¹ Fetal Cardiac Program, Department of Pediatrics, Labatt Family Heart Centre, The Hospital for Sick Children, University of Toronto, Toronto, ON, Canada. Electronic address: edgar.jaeggi@sickkids.ca.
² Fetal Cardiac Program, Department of Pediatrics, Labatt Family Heart Centre, The Hospital for Sick Children, University of Toronto, Toronto, ON, Canada.
³ Fetal Medicine Unit, Department of Obstetrics & Gynecology, Mount Sinai Hospital University of Toronto, Toronto, ON, Canada.
⁴ Interventional Cardiac Program, Department of Pediatrics, Labatt Family Heart Centre, The Hospital for Sick Children, University of Toronto, Toronto, ON, Canada.

PMID: 27234352
DOI: 10.1016/j.tcm.2016.04.006

Abstract

Percutaneous, ultrasound-guided fetal cardiac intervention (FCI) is increasingly used to alter the prognosis of specific forms of congenital heart disease. Careful patient selection and postnatal management strategy are essential for optimal outcomes. This article discusses the rationale, patient selection criteria, procedural techniques, and contemporary results of FCI. Sources of information included published patient series, the International Fetal Cardiac Intervention Registry, and the Toronto experience as the Canadian referral center.

Keywords: Congenital heart disease; Echocardiography; Fetal; Interventions; Therapy.

Publication types

Review

MeSH terms

Cardiac Catheterization / methods*
Echocardiography*
Female
Heart Defects, Congenital / diagnostic imaging
Heart Defects, Congenital / physiopathology
Heart Defects, Congenital / therapy*
Hemodynamics
Humans
Patient Selection
Predictive Value of Tests
Pregnancy
Risk Factors
Treatment Outcome
Ultrasonography, Interventional / methods*
Ultrasonography, Prenatal*