Prenatal and Postnatal Survival of Fetal Tetralogy of Fallot: A Meta-analysis of Perinatal Outcomes and Associated Genetic Disorders

The aim of this systematic review was to compare the postnatal outcomes, genetic testing results, and sonographic findings in 3 subtypes of tetralogy of Fallot. Thirty-six articles from the MEDLINE and EMBASE databases were selected for this review. The postnatal outcomes, karyotyping results, and s...

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Veröffentlicht in:Journal of ultrasound in medicine 2016-05, Vol.35 (5), p.905-915
Hauptverfasser: Zhao, Yili, Abuhamad, Alfred, Fleenor, Jonathan, Guo, Yajun, Zhang, Wangshu, Cao, Danming, Zeng, Shi, Sinkovskaya, Elena, Zhou, Qichang
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container_end_page 915
container_issue 5
container_start_page 905
container_title Journal of ultrasound in medicine
container_volume 35
creator Zhao, Yili
Abuhamad, Alfred
Fleenor, Jonathan
Guo, Yajun
Zhang, Wangshu
Cao, Danming
Zeng, Shi
Sinkovskaya, Elena
Zhou, Qichang
description The aim of this systematic review was to compare the postnatal outcomes, genetic testing results, and sonographic findings in 3 subtypes of tetralogy of Fallot. Thirty-six articles from the MEDLINE and EMBASE databases were selected for this review. The postnatal outcomes, karyotyping results, and sonographic findings of fetal tetralogy of Fallot with pulmonary stenosis, tetralogy of Fallot with pulmonary atresia, and tetralogy of Fallot with an absent pulmonary valve were collected and compared. The survival rates (termination of pregnancy was considered fetal death) for prenatally diagnosed tetralogy of Fallot with pulmonary atresia and tetralogy of Fallot with an absent pulmonary valve at the end of neonatal period were significantly lower than the rate for tetralogy of Fallot with pulmonary stenosis (P < .05). The survival rate for tetralogy of Fallot with pulmonary atresia was also lower at birth (P < .001). Major chromosomal anomalies were more frequently detected in tetralogy of Fallot with pulmonary stenosis (P< .05); conversely, 22q11 deletion was present more often in fetuses with tetralogy of Fallot with pulmonary atresia and tetralogy of Fallot with an absent pulmonary valve (P < .001). Compared to tetralogy of Fallot with pulmonary stenosis, a right aortic arch was more associated with tetralogy of Fallot with pulmonary atresia (32.6%; P < .05), and the ductus arteriosus was almost always absent in tetralogy of Fallot with an absent pulmonary valve (87.5%; P < .001). The postnatal outcomes, genetic testing results, and sonographic findings are different among subtypes of tetralogy of Fallot. Documenting those details at diagnosis can help specialists better counsel their patients.
doi_str_mv 10.7863/ultra.15.04055
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Major chromosomal anomalies were more frequently detected in tetralogy of Fallot with pulmonary stenosis (P< .05); conversely, 22q11 deletion was present more often in fetuses with tetralogy of Fallot with pulmonary atresia and tetralogy of Fallot with an absent pulmonary valve (P < .001). Compared to tetralogy of Fallot with pulmonary stenosis, a right aortic arch was more associated with tetralogy of Fallot with pulmonary atresia (32.6%; P < .05), and the ductus arteriosus was almost always absent in tetralogy of Fallot with an absent pulmonary valve (87.5%; P < .001). The postnatal outcomes, genetic testing results, and sonographic findings are different among subtypes of tetralogy of Fallot. 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subjects Female
Genetic Testing - statistics & numerical data
Humans
Pregnancy
Pregnancy Outcome - epidemiology
Survival Analysis
Tetralogy of Fallot - diagnostic imaging
Tetralogy of Fallot - epidemiology
Ultrasonography, Prenatal - methods
title Prenatal and Postnatal Survival of Fetal Tetralogy of Fallot: A Meta-analysis of Perinatal Outcomes and Associated Genetic Disorders
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