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PFM.43 The antenatal detection of serious cardiac anomalies: A retrospective study from UHCW
  1. L Spooner,
  2. L Lacey,
  3. S Mukherjee
  1. University Hospital Coventry Warwickshire, Coventry, UK

Abstract

Introduction All pregnant women are offered an anomaly scan including assessment of fetal cardiac anatomy. Congenital cardiac disease is a complex structural malformation of the heart and/or great arteries requiring surgical/catheter intervention within the first 6 months.1 We reviewed the spectrum of defects diagnosed antenatally at our teaching hospital from 2011–2013 and identified if these were associated with a chromosomal defect, maternal disease, viral infection or a family history of cardiac disease.

Methods Our fetal medicine database was used to identify 31 cases and the case notes to identify outcomes.

Abstract PFM.43 Table
Abstract PFM.43 Table

Conclusions Three of our cases had a family history of congenital heart disease, two were associated with maternal diabetes and seven had a chromosomal abnormality. Twelve were diagnosed with HLHS making it the commonest antenatal diagnosis. Significant numbers of chromosomal defects emphasise the importance of thorough evaluation of any fetus identified with a cardiac defect.

Reference

  1. Donald C. Fyler, MD. Report of the New England Regional Infant Cardiac Program. Pediatrics 1980;65(suppl):375–461

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