Hostname: page-component-78c5997874-dh8gc Total loading time: 0 Render date: 2024-11-18T01:17:19.930Z Has data issue: false hasContentIssue false
  • English
  • Français

Foetal echocardiography of transposition of the great arteries and common arterial trunk*

Published online by Cambridge University Press:  18 January 2013

Grace Freire ,
Michelle Miller  and
James Huhta
Grace Freire*
Affiliation:
Division of Pediatric Cardiology, All Children's Hospital Heart Institute, Saint Petersburg, Florida, United States
Michelle Miller
Affiliation:
Division of Pediatric Cardiology, All Children's Hospital Heart Institute, Saint Petersburg, Florida, United States
James Huhta
Affiliation:
Division of Pediatric Cardiology, All Children's Hospital Heart Institute, Saint Petersburg, Florida, United States The Congenital Heart Institute of Florida, Pediatric Cardiology Associates/Pediatrix Medical Group, Saint Petersburg, Florida, United States
*
Correspondence to: G. Freire, Pediatric Cardiology, All Childrens Hospital, Johns Hopkins Medicine, 601 5th Street South, 2nd Floor, St Petersburg, FL 33701, United States of America. Tel: 727-767-3333; Fax: 727-767-8990; E-mail: grace.freire@allkids.org
Get access Rights & Permissions [Opens in a new window]

Abstract

Advances in foetal echocardiography allow detection of conotruncal anomalies such as transposition of the great arteries and common arterial trunk. Early detection of these anomalies is important for appropriate delivery planning, family counselling, and management. This manuscript will review the anatomic considerations, differential diagnosis, and foetal echocardiographic features of each of these malformations and review the importance of prenatal diagnosis and family counselling.

Keywords

Transposition of the great arteriescommon arterial trunkfoetal diagnosisfoetal echocardiography
Type
Original Article
Information
Cardiology in the Young , Volume 22 , Issue 6: A Lifelong Interdisciplinary Approach to Common Arterial Trunk, Transposition of the Great Arteries, and Other Evolving Challenges in Paediatric and Congenital Cardiac Disease , December 2012 , pp. 671 - 676
Copyright
Copyright © Cambridge University Press 2012

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

*

Presented at: 12th Annual International Symposium on Congenital Heart Disease, February 17–21, 2012, All Children's Hospital, Saint Petersburg, Florida, United States of America.

References

1. Simpson, JM. Impact of fetal echocardiography. Ann Pediatr Cardiol 2009; 2: 41–50.Google Scholar
2. Bonnet, D, Coltri, A, Gianfranco, B, et al. Detection of transposition of the great arteries in fetuses reduces neonatal morbidity and mortality. Circulation 1999; 99: 916–918.Google Scholar
3. Friedberg, M, Silverman, N, Moon-Grady, AJ, et al. Prenatal detection of congenital heart disease. J Pediatr 2009; 155: 26–39, 31.Google Scholar
4. Khoshnood, B, De Vigan, C, Vodovar, V, et al. Trends in prenatal diagnosis, pregnancy termination, and perinatal mortality in newborns with congenital heart disease in France, 1983–2000: a population-based evaluation. Pediatrics 2005; 115: 95–101.Google Scholar
5. Allen, H, Driscoll, D, Shaddy, R, Feltes, T. Moss and Adams’ Heart disease in Infants, Children and Adolescents, 7th edn. Lippincott Williams and Wilkins, Philadelphia, PA, 2008.Google Scholar
6. Maneo, Y, Kamenir, S, Sinclair, B, van der Velde, ME, Smallhorn, J, Hornberger, L. Prenatal features of ductus arteriosus constriction and restrictive foramen ovale in d-transposition of the great arteries. Circulation 1999; 99: 1209–1214.Google Scholar
7. Punn, R, Silverman, N. Fetal predictors of urgent balloon atrial septostomy in neonates with complete transposition. J Am Soc Echocardiogr 2011; 24: 425–430.Google Scholar
8. Wieczorek, A, Hernandez-Robles, J, Ewing, L, Leshko, J, Luther, S, Huhta, J. Prediction of outcome of fetal congenital heart disease using a cardiovascular profile score. Ultrasound Obstet Gynecol 2008; 31: 284–288.Google Scholar
9. Duke, C, Sharland, GK, Jones, AM, Simpson, JM. Echocardiographic features and outcome of truncus arteriosus diagnosed during fetal life. Am J Cardiol 2001; 88: 1379–1384.Google Scholar
10. Lai, WW, Mertens, LL, Cohen, MS, Geva, T. Echocardiography in Pediatric and Congenital Heart Disease: From Fetus to Adult. John Wiley and Sons, West Sussex, UK, 2009.Google Scholar
11. Fuglestad, S, Puga, F, Danielson, G. Surgical pathology of the truncal valve: a study of 12 cases. Am J Cardiovasc Pathol 1988; 2: 39–47.Google Scholar
12. Calder, L, Van Praagh, R, Van Praagh, S, et al. Truncus arteriosus communis: clinical, angiographic and pathologic findings in 100 patients. Am Heart Journal 1976; 92: 23–38.Google Scholar
13. Mair, D, Ritter, D, Davis, G. Selection of patients with truncus arteriosus for surgical correction: anatomic and hemodynamic considerations. Circulation 1974; 49: 144–151.Google Scholar
14. Butto, F, Lucas, R, Edwards, J. Persistent truncus arteriosus: pathologic anatomy in 54 cases. Pediatr Cardiol 1986; 7: 95–101.CrossRefGoogle ScholarPubMed
15. Swanson, TM, Selamet Tierney, ES, Tworetzky, W, Pigula, F, McElhinney, DB. Truncus arteriosus: diagnostic accuracy, outcomes, and impact of prenatal diagnosis. Pediatr Cardiol 2009; 30: 256–261.Google Scholar
16. Patel, D, Cuneo, B, Viesca, R, Rasanen, J, Leshko, J, Huhta, J. Digoxin for the treatment of fetal congestive heart failure with sinus rhythm assessed by cardiovascular profile score. J Matern Fetal Neonatal Med 2008; 21: 477–482.Google Scholar