지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2014.1
- 수록면
- 193 - 200 (8page)
이용수
초록· 키워드
오류제보하기
ObjectiveTo report our experiences in the prenatal diagnosis of atrial isomerism and postnatal outcomes.
MethodsA total of 80 fetuses prenatally diagnosed with atrial isomerism were retrospectively analyzed between 1999 and 2011 at a single institution.
ResultsOf 43 fetuses with prenatally diagnosed right atrial isomerism (RAI), 40 cases were analyzed. The diagnostic accuracy was 93%. The main intracardiac anomalies in RAI were atrioventricular septal defect (AVSD), abnormal pulmonary venous connection, bilateral superior vena cava (BSVC), and pulmonary atresia. Among 28 live births, three infants were lost to follow up, and the overall survival rate was 60%. Of 37 fetuses with prenatally diagnosed left atrial isomerism (LAI), 35 were evaluated. The diagnostic accuracy was 97%. The main intracardiac anomalies in LAI were ventricular septal defect, BSVC, AVSD, double outlet right ventricle, and bradyarrhythmia. Among seven patients with bradyarrhythmia, only one showed a complete atrioventricular block. All fetuses had an interrupted inferior vena cava with azygous continuation. The overall survival rate was 90%.
ConclusionOur study confirms the previous findings of fetal atrial isomerism. We also demonstrates a much lower prevalence of AVSD and complete heart block in LAI and a better survival rate in RAI. Although the postnatal outcomes for RAI were worse than those for LAI, successful postnatal surgery with active management improved the survival rate.
목차
등록된 정보가 없습니다.
참고문헌 (27)
참고문헌 신청
Atkinson DE / 1998 / Diagnosis of heterotaxy syndrome by fetal echocardiography / Am J Cardiol 82 : 1147 ~ 1149
Berg C / 2003 / Prenatal diagnosis of cardiosplenic syndromes:a 10-year experience / Ultrasound Obstet Gynecol 22 : 451 ~ 459
Berg C / 2005 / The syndrome of left isomerism: sonographic findings and outcome in prenatally diagnosed cases / J Ultrasound Med 24 : 921 ~ 931
Bronshtein M / 2010 / Prenatal diagnosis and outcome of isolated interrupted inferior vena cava / Am J Obstet Gynecol 202 : 398.e1 ~ 398.e4
Celentano C / 1999 / Prenatal diagnosis of interrupted inferior vena cava as an isolated finding: a benign vascular malformation / Ultrasound Obstet Gynecol 14 : 215 ~ 218
Berg C / 2003 / Prenatal diagnosis of cardiosplenic syndromes:a 10-year experience / Ultrasound Obstet Gynecol 22 : 451 ~ 459
Berg C / 2005 / The syndrome of left isomerism: sonographic findings and outcome in prenatally diagnosed cases / J Ultrasound Med 24 : 921 ~ 931
Bronshtein M / 2010 / Prenatal diagnosis and outcome of isolated interrupted inferior vena cava / Am J Obstet Gynecol 202 : 398.e1 ~ 398.e4
Celentano C / 1999 / Prenatal diagnosis of interrupted inferior vena cava as an isolated finding: a benign vascular malformation / Ultrasound Obstet Gynecol 14 : 215 ~ 218
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