Abstract
Background. The discovery of ultrasound has made a revolution in almost all fields of medicine. The past three decades have withessed an intensive development of fetal echocardiography methods and technique. The aim of the paper is to present a review of the results and trends of the last 10 years of fetal echocardiography in Lithuania and to show the spectrum and outcomes of prenatally detected congenital heart diseases.
Materials and methods. Fetal echocardiography was performed for 1816 fetuses during the period from 1999 to 2009.
Results. Cardiac pathology was diagnosed in 176 (9.7%) fetuses. Heart defects were detected in 112 (63.6%) of them, cardiac rhythm and conduction disturbances in 62 (35.2%), cardiomyopathy in 2 (1.1%) fetuses, and heart rhabdomyoma in 1 (0.6%) fetus. The general rate of the postnatal diagnosis of congenital heart defects in Lithuania was about 10%. Most of fetal cardiac diseases (70.5%) were diagnosed after 22 weeks of gestation. Because most of antenatally diagnosed congenital heart defects (74%) were critical and inconsistent with life, a large part of newborns (40.2%) died in the neonatal period, 10.7% of fetuses died in utero, and 8% of pregnancies were terminated by abortion. The data demonstrate good tendencies: the diagnosis has become earlier, a wider spectrum of diseases have been diagnosed, more newborns have survived. Our survey shows that 41.1% of newborns with prenatally diagnosed congenital heart defects have survived.
Conclusions. 10% of severe congenital heart diseases are detected prenatally in Lithuania. The efficacy of antenatal diagnostics depends on the qualification of specialists, the number of tertiary care centers, on a successful collaboration among pediatric cardiologists, obstetricians and geneticists. The main problem is an insufficient preparation of obstetricians, the uncertified favor of pediatric cardiologist.
Keywords: congenital heart disease, fetal echocardiography, antenatal diagnostics
Downloads
Download data is not yet available.
Most read articles by the same author(s)
-
Domas Grigoravičius,
Laura Šiaulienė,
Žydrūnė Visockienė,
Unrecognized Primary Hypoparathyroidism with Severe Hypocalcemia in the Presence of COVID-19 Infection
,
Acta medica Lituanica: Vol. 29 No. 1 (2022): Acta medica Lituanica
-
Agnė Laučytė-Cibulskienė,
Marius Miglinas,
Arūnas Želvys,
Albertas Čekauskas,
Successful laparoscopic living donor nephrectomy: first experience in Lithuania
,
Acta medica Lituanica: Vol. 26 No. 2 (2019): Acta Medica Lituanica
-
Bünyamin Tosunoğlu,
Sultan Merve Ünal,
Seyfi Emre Aksoy,
Tahir Kurtuluş Yoldaş,
Vertigo and Ischemic Stroke after Hyperextension (Beauty Parlour Stroke syndrome)
,
Acta medica Lituanica: Vol. 29 No. 2 (2022): Acta medica Lituanica
-
Nadiya Barabash,
Tetiana Tykhonova,
Olena Kanishcheva,
Current and Perspective Approaches to the Treatment of Prolactinomas
,
Acta medica Lituanica: Vol. 30 No. 2 (2023): Acta medica Lituanica
-
Monika Kapitančukė,
Agnija Vaščiūnaitė,
Rasa Augustinienė,
Jūratė Sakalinskienė,
Gražina Kleinotienė,
Primary gastric Burkitt lymphoma-induced anaemia: a case report and a literature review
,
Acta medica Lituanica: Vol. 25 No. 1 (2018)
-
Bünyamin Tosunoğlu,
Sıddıka Sena Dilek,
Ümmühanı Emektar,
Tahir Kurtuluş Yoldaş,
Creutzfeldt–Jakob Disease with Stroke-Like Symptoms: Case report
,
Acta medica Lituanica: Vol. 29 No. 2 (2022): Acta medica Lituanica
-
Matas Jakubauskas,
Virgilijus Beiša,
Kęstutis Strupas,
Risk factors of developing the hungry bone syndrome after parathyroidectomy for primary hyperparathyroidism
,
Acta medica Lituanica: Vol. 25 No. 1 (2018)
-
Mehdi Maghbooli,
Abdolreza Esmaeilzadeh ,
Fatemeh Karami Zarandi,
Arezoo Jafarzadeh ,
Sajjad Biglari ,
Nazanin Azizi Shalbaf ,
Negar Farhoudi ,
Is There Any Relation between Serum Levels of Interleukin-10 and Neurophysiological Abnormalities in Bell’s Palsy?
,
Acta medica Lituanica: Vol. 28 No. 2 (2021): Acta medica Lituanica
-
Daiva Gražulytė,
Evaldas Kazlauskas,
Ieva Norkienė,
Smiltė Kolevinskaitė,
Greta Kezytė,
Indrė Urbanavičiūtė,
Akvilė Sabestinaitė,
Gintarė Korsakaitė,
Paulina Želvienė,
Donata Ringaitienė,
Gintarė Šostakaitė,
Jūratė Šipylaitė,
Long-term quality of life and posttraumatic stress following elective cardiac surgery: preliminary findings of a 5-year follow-up study
,
Acta medica Lituanica: Vol. 26 No. 1 (2019): Acta Medica Lituanica
-
Giedrius Bernotavičius,
Kęstutis Saniukas,
Irena Karmonaitė,
Rimantas Zagorskis,
Superior mesenteric artery syndrome
,
Acta medica Lituanica: Vol. 23 No. 3 (2016)