Outcomes of Infants with Prenatally Diagnosed Congenital Heart Disease Delivered in a Tertiary-care Pediatric Cardiac Facility.
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Date
2015-10
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Abstract
Objective: To report short-term outcomes of infants with
prenatally diagnosed Congenital Heart Disease (CHD) delivered
in a tertiary-care cardiac facility.
Design: Retrospective study.
Setting: Tertiary-care referral hospital.
Participants: Children with prenatally diagnosed CHDs who
underwent delivery at study centre during the period January 2008
- December 2013 were included. Outcomes tracked from hospital
records and direct follow-up.
Results: Of the 552 fetuses diagnosed to have CHD, 121 (22%)
were delivered at the study centre. Fetuses undergoing a planned
delivery were diagnosed in late gestation (mean gestational age
31.5 + 5.1 wk). 74 fetuses (61.2%) had simple CHD and rest were
complex. 96 (79.3%) neonates received cardiac care; 30 (24.8%)
required surgery while 5 received catheter-based interventions.
11 patients underwent surgery on follow-up. Neonatal survival in
cardiac care group was 93.8%; on follow-up (12.5 + 13.1 mo); 83
(86.4%) of these infants were alive. All infants undergoing
neonatal surgery or catheter-based interventions survived. 25
patients (20.6%) received comfort care (Complex CHD,
associated co-morbidities); 14 (56%) survived neonatal period
and 6 (24%) were alive on follow-up.
Conclusions: Infants with prenatal diagnosis of CHD and
planned delivery in a cardiac facility had satisfactory immediate
outcomes, expecially in those receiving specialized post-natal
cardiac care.
Description
Keywords
Congenital heart disease, Fetal echocardiograpgy Planned delivery, Prenatal diagnosis
Citation
Changlani Trupti Deepak, Jose Annu, Sudhakar Abish, Rojal Reshma, Kunjikutty Radhamany, Vaidyanathan Balu. Outcomes of Infants with Prenatally Diagnosed Congenital Heart Disease Delivered in a Tertiary-care Pediatric Cardiac Facility. Indian Pediatrics. 2015 Oct; 52(10): 852.856.