Fetal cardiac interventions: rationale, risk and benefit

Gerald Tulzer; Wolfgang Arzt

doi:10.1016/j.siny.2013.04.002

Fetal cardiac interventions: rationale, risk and benefit

Semin Fetal Neonatal Med. 2013 Oct;18(5):298-301. doi: 10.1016/j.siny.2013.04.002. Epub 2013 Jun 10.

Authors

Gerald Tulzer¹, Wolfgang Arzt

Affiliation

¹ Children's Heart Centre Linz, Department of Pediatric Cardiology, Krankenhausstrasse 26-30, A-4020 Linz, Austria. Electronic address: gerald.tulzer@gespag.at.

PMID: 23764271
DOI: 10.1016/j.siny.2013.04.002

Abstract

Fetal congenital heart disease may progress during pregnancy and may lead to irreversible myocardial or pulmonary damage. The rationale of fetal intracardiac interventions is to change fetal hemodynamics, prevent secondary damage and improve long-term outcome at an acceptable risk for mother and fetus. This review focuses on the current experience about patient selection, risks and benefits of this technique.

Keywords: Aortic stenosis; Congenital heart disease; Fetal cardiac intervention; Fetus.

Publication types

Review

MeSH terms

Female
Fetal Death / epidemiology
Fetal Death / etiology
Fetal Death / prevention & control
Fetal Heart / abnormalities
Fetal Heart / embryology*
Fetal Heart / physiopathology
Fetal Heart / surgery
Fetal Therapies / adverse effects*
Heart Defects, Congenital / embryology
Heart Defects, Congenital / physiopathology
Heart Defects, Congenital / surgery
Heart Defects, Congenital / therapy
Heart Diseases / congenital
Heart Diseases / embryology
Heart Diseases / physiopathology
Heart Diseases / therapy*
Humans
Male
Maternal Death / etiology
Maternal Death / prevention & control
Postoperative Complications / epidemiology
Postoperative Complications / etiology
Postoperative Complications / physiopathology
Postoperative Complications / prevention & control
Pregnancy
Risk Assessment