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ISSN: 2155-9880

Journal of Clinical & Experimental Cardiology
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Review Article

Fetal Echocardiography and Prenatal Cardiovascular Interventions - An Update (2012)

Lisa K. Hornberger1*, Anita J. Moon-Grady2 and Wayne Tworetzky3
1Fetal & Neonatal Cardiology Program, Department of Pediatrics (Cardiology) and Obstetrics & Gynecology, Women’s & Children’s Health Research Institute, Mazankowski Alberta Heart Institute, University of Alberta, Edmonton, Alberta, Canada
2Fetal Cardiovascular Program, Pediatric Cardiology, Fetal Treatment Center, University of California San Francisco, San Francisco, California, USA
3Department of Cardiology, Boston Children’s Hospital, Harvard Medical School, Boston, Massachusetts, USA
Corresponding Author : Lisa K. Hornberger MD
Pediatric Cardiology
Stollery Children’s Hospital 4C2/University of Alberta
8440 112th Street, Edmonton, Alberta, Canada
Tel: 780-407-3355
Fax: 780-407-3954
E-mail: [email protected]
Received January 23, 2012; Accepted March 07, 2012; Published June 15, 2012
Citation:Hornberger LK, Moon-Grady AJ, Tworetzky W (2012) Fetal Echocardiography and Prenatal Cardiovascular Interventions – An Update (2012). J Clin Exp Cardiolog S8:009 doi:10.4172/2155-9880.S8-009
Copyright: © 2012 Hornberger LK, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited
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Abstract

Fetal echocardiography has evolved considerably over the past 1-2 decades into an exciting field that bridges maternal-fetal medicine with neonatology and pediatric cardiology. With significant advances in imaging technology and experience in prenatal diagnosis, details of the cardiac pathology can now be defined much as it is postnatally; however, unique aspects of the fetal circulation limit our ability to consistently define lesion severity and to predict the evolution of cardiac defects after birth. Serial assessment has provided an understanding of the antenatal natural history of fetal heart disease, which has led to improved counseling and perinatal/neonatal management strategies. More recently, this field has focused on improving our evaluation of fetal arrhythmias, exploring the pathophysiology of fetal heart failure, detecting heart defects at earlier gestational ages, identifying novel interventions to alter the development and progression of severe disease, and investigating strategies to optimize prenatal and neonatal care in an effort to improve perinatal outcome of affected pregnancies. In this paper we will review the current state of the art of fetal/perinatal cardiology and the advances that have occurred in the field largely over the past decade.

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