Prenatal sonographic markers of the outcome in fetuses with bronchopulmonary sequestration

Purpose To evaluate the prenatal sonographic predictive markers of the outcome in fetuses with bronchopulmonary sequestration (BPS). Methods BPS size and diameter of the feeding artery (FA) were measured prenatally and postnatally. Velocity of the FA and the left ventricular‐modified myocardial perf...

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Veröffentlicht in:Journal of clinical ultrasound 2020-02, Vol.48 (2), p.89-96
Hauptverfasser: Cho, Min Kyong, Lee, Mi‐Young, Kang, Jisik, Kim, Juhee, Won, Hye‐Sung, Lee, Pil‐Ryang, Jeong, Euiseok, Lee, Byong Sop, Kim, Ellen Ai‐Rhan, Yoon, Heemang, Lee, Jin Seoung, Han, Minkyu
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container_end_page 96
container_issue 2
container_start_page 89
container_title Journal of clinical ultrasound
container_volume 48
creator Cho, Min Kyong
Lee, Mi‐Young
Kang, Jisik
Kim, Juhee
Won, Hye‐Sung
Lee, Pil‐Ryang
Jeong, Euiseok
Lee, Byong Sop
Kim, Ellen Ai‐Rhan
Yoon, Heemang
Lee, Jin Seoung
Han, Minkyu
description Purpose To evaluate the prenatal sonographic predictive markers of the outcome in fetuses with bronchopulmonary sequestration (BPS). Methods BPS size and diameter of the feeding artery (FA) were measured prenatally and postnatally. Velocity of the FA and the left ventricular‐modified myocardial performance index (LV mod‐MPI) were also evaluated prenatally. Results Forty‐seven women were included in the study. Mean gestational age, mass size, diameter and velocity of the FA, and LV mod‐MPI at prenatal diagnosis were 23.5 ± 2.2 weeks, 3.6 ± 8.3 cm, 2.3 ± 0.6 mm, 46.6 ± 15.4 cm/s, and 0.46 ± 0.06, respectively. Mean mass diameter and FA diameter measured on postnatal CT examinations were 3.8 ± 1.0 cm and 2.3 ± 0.7 mm, respectively. Five patients had respiratory symptoms after birth. Twenty children (43%) underwent or were scheduled to undergo mass excision, and the remaining 27 (57%) were doing well without any intervention. There was no neonatal death. LV mod‐MPI at diagnosis, the FA diameter after birth and the serial change in the FA size were significantly associated with postnatal mass excision. Conclusion The FA diameter and LV mod‐MPI may be additional markers for predicting whether fetuses with BPS should undergo mass excision in early childhood or conservative care.
doi_str_mv 10.1002/jcu.22780
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Methods BPS size and diameter of the feeding artery (FA) were measured prenatally and postnatally. Velocity of the FA and the left ventricular‐modified myocardial performance index (LV mod‐MPI) were also evaluated prenatally. Results Forty‐seven women were included in the study. Mean gestational age, mass size, diameter and velocity of the FA, and LV mod‐MPI at prenatal diagnosis were 23.5 ± 2.2 weeks, 3.6 ± 8.3 cm, 2.3 ± 0.6 mm, 46.6 ± 15.4 cm/s, and 0.46 ± 0.06, respectively. Mean mass diameter and FA diameter measured on postnatal CT examinations were 3.8 ± 1.0 cm and 2.3 ± 0.7 mm, respectively. Five patients had respiratory symptoms after birth. Twenty children (43%) underwent or were scheduled to undergo mass excision, and the remaining 27 (57%) were doing well without any intervention. There was no neonatal death. LV mod‐MPI at diagnosis, the FA diameter after birth and the serial change in the FA size were significantly associated with postnatal mass excision. Conclusion The FA diameter and LV mod‐MPI may be additional markers for predicting whether fetuses with BPS should undergo mass excision in early childhood or conservative care.</description><identifier>ISSN: 0091-2751</identifier><identifier>EISSN: 1097-0096</identifier><identifier>DOI: 10.1002/jcu.22780</identifier><identifier>PMID: 31609460</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley &amp; Sons, Inc</publisher><subject>Birth ; bronchopulmonary sequestration ; Children ; congenital abnormalities ; Diagnosis ; Diameters ; feeding artery ; Fetuses ; Gestational age ; Heart ; Markers ; Neonates ; Performance indices ; Prenatal diagnosis ; Ultrasonic imaging ; ultrasonography ; Velocity ; Ventricle</subject><ispartof>Journal of clinical ultrasound, 2020-02, Vol.48 (2), p.89-96</ispartof><rights>2019 Wiley Periodicals, Inc.</rights><rights>2020 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3530-9b58a02df1cc53704c66e07a0cb62108ca9c9cfc57aeee229bd682304cda0e303</citedby><cites>FETCH-LOGICAL-c3530-9b58a02df1cc53704c66e07a0cb62108ca9c9cfc57aeee229bd682304cda0e303</cites><orcidid>0000-0003-2691-4954</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fjcu.22780$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fjcu.22780$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,777,781,1412,27905,27906,45555,45556</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31609460$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cho, Min Kyong</creatorcontrib><creatorcontrib>Lee, Mi‐Young</creatorcontrib><creatorcontrib>Kang, Jisik</creatorcontrib><creatorcontrib>Kim, Juhee</creatorcontrib><creatorcontrib>Won, Hye‐Sung</creatorcontrib><creatorcontrib>Lee, Pil‐Ryang</creatorcontrib><creatorcontrib>Jeong, Euiseok</creatorcontrib><creatorcontrib>Lee, Byong Sop</creatorcontrib><creatorcontrib>Kim, Ellen Ai‐Rhan</creatorcontrib><creatorcontrib>Yoon, Heemang</creatorcontrib><creatorcontrib>Lee, Jin Seoung</creatorcontrib><creatorcontrib>Han, Minkyu</creatorcontrib><title>Prenatal sonographic markers of the outcome in fetuses with bronchopulmonary sequestration</title><title>Journal of clinical ultrasound</title><addtitle>J Clin Ultrasound</addtitle><description>Purpose To evaluate the prenatal sonographic predictive markers of the outcome in fetuses with bronchopulmonary sequestration (BPS). Methods BPS size and diameter of the feeding artery (FA) were measured prenatally and postnatally. Velocity of the FA and the left ventricular‐modified myocardial performance index (LV mod‐MPI) were also evaluated prenatally. Results Forty‐seven women were included in the study. Mean gestational age, mass size, diameter and velocity of the FA, and LV mod‐MPI at prenatal diagnosis were 23.5 ± 2.2 weeks, 3.6 ± 8.3 cm, 2.3 ± 0.6 mm, 46.6 ± 15.4 cm/s, and 0.46 ± 0.06, respectively. Mean mass diameter and FA diameter measured on postnatal CT examinations were 3.8 ± 1.0 cm and 2.3 ± 0.7 mm, respectively. Five patients had respiratory symptoms after birth. Twenty children (43%) underwent or were scheduled to undergo mass excision, and the remaining 27 (57%) were doing well without any intervention. There was no neonatal death. LV mod‐MPI at diagnosis, the FA diameter after birth and the serial change in the FA size were significantly associated with postnatal mass excision. Conclusion The FA diameter and LV mod‐MPI may be additional markers for predicting whether fetuses with BPS should undergo mass excision in early childhood or conservative care.</description><subject>Birth</subject><subject>bronchopulmonary sequestration</subject><subject>Children</subject><subject>congenital abnormalities</subject><subject>Diagnosis</subject><subject>Diameters</subject><subject>feeding artery</subject><subject>Fetuses</subject><subject>Gestational age</subject><subject>Heart</subject><subject>Markers</subject><subject>Neonates</subject><subject>Performance indices</subject><subject>Prenatal diagnosis</subject><subject>Ultrasonic imaging</subject><subject>ultrasonography</subject><subject>Velocity</subject><subject>Ventricle</subject><issn>0091-2751</issn><issn>1097-0096</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNp10D1PwzAQBmALgWgpDPwBZIkFhrRnJ46TEVV8qhIMdGGJHPdCUpK42Imq_ntMWxiQmG557r3TS8g5gzED4JOl7secywQOyJBBKgOAND4kQz9YwKVgA3Li3BIAYiHEMRmELIY0imFI3l4stqpTNXWmNe9WrcpK00bZD7SOmoJ2JVLTd9o0SKuWFtj1Dh1dV11Jc2taXZpVXzemVXZDHX726Dqrusq0p-SoULXDs_0ckfnd7ev0IZg93z9Ob2aBDkUIQZqLRAFfFExrEUqIdBwjSAU6jzmDRKtUp7rQQipE5DzNF3HCQ-8WCjCEcESudrkra7bns6ZyGutatWh6l3krIim4XxqRyz90aXrb-u-88t9IlsjIq-ud0tY4Z7HIVrbylWwyBtl34ZkvPNsW7u3FPrHPG1z8yp-GPZjswLqqcfN_UvY0ne8ivwABeYsf</recordid><startdate>202002</startdate><enddate>202002</enddate><creator>Cho, Min Kyong</creator><creator>Lee, Mi‐Young</creator><creator>Kang, Jisik</creator><creator>Kim, Juhee</creator><creator>Won, Hye‐Sung</creator><creator>Lee, Pil‐Ryang</creator><creator>Jeong, Euiseok</creator><creator>Lee, Byong Sop</creator><creator>Kim, Ellen Ai‐Rhan</creator><creator>Yoon, Heemang</creator><creator>Lee, Jin Seoung</creator><creator>Han, Minkyu</creator><general>John Wiley &amp; Sons, Inc</general><general>Wiley Subscription Services, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>M7Z</scope><scope>P64</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-2691-4954</orcidid></search><sort><creationdate>202002</creationdate><title>Prenatal sonographic markers of the outcome in fetuses with bronchopulmonary sequestration</title><author>Cho, Min Kyong ; Lee, Mi‐Young ; Kang, Jisik ; Kim, Juhee ; Won, Hye‐Sung ; Lee, Pil‐Ryang ; Jeong, Euiseok ; Lee, Byong Sop ; Kim, Ellen Ai‐Rhan ; Yoon, Heemang ; Lee, Jin Seoung ; Han, Minkyu</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3530-9b58a02df1cc53704c66e07a0cb62108ca9c9cfc57aeee229bd682304cda0e303</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Birth</topic><topic>bronchopulmonary sequestration</topic><topic>Children</topic><topic>congenital abnormalities</topic><topic>Diagnosis</topic><topic>Diameters</topic><topic>feeding artery</topic><topic>Fetuses</topic><topic>Gestational age</topic><topic>Heart</topic><topic>Markers</topic><topic>Neonates</topic><topic>Performance indices</topic><topic>Prenatal diagnosis</topic><topic>Ultrasonic imaging</topic><topic>ultrasonography</topic><topic>Velocity</topic><topic>Ventricle</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cho, Min Kyong</creatorcontrib><creatorcontrib>Lee, Mi‐Young</creatorcontrib><creatorcontrib>Kang, Jisik</creatorcontrib><creatorcontrib>Kim, Juhee</creatorcontrib><creatorcontrib>Won, Hye‐Sung</creatorcontrib><creatorcontrib>Lee, Pil‐Ryang</creatorcontrib><creatorcontrib>Jeong, Euiseok</creatorcontrib><creatorcontrib>Lee, Byong Sop</creatorcontrib><creatorcontrib>Kim, Ellen Ai‐Rhan</creatorcontrib><creatorcontrib>Yoon, Heemang</creatorcontrib><creatorcontrib>Lee, Jin Seoung</creatorcontrib><creatorcontrib>Han, Minkyu</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Biochemistry Abstracts 1</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical ultrasound</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cho, Min Kyong</au><au>Lee, Mi‐Young</au><au>Kang, Jisik</au><au>Kim, Juhee</au><au>Won, Hye‐Sung</au><au>Lee, Pil‐Ryang</au><au>Jeong, Euiseok</au><au>Lee, Byong Sop</au><au>Kim, Ellen Ai‐Rhan</au><au>Yoon, Heemang</au><au>Lee, Jin Seoung</au><au>Han, Minkyu</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prenatal sonographic markers of the outcome in fetuses with bronchopulmonary sequestration</atitle><jtitle>Journal of clinical ultrasound</jtitle><addtitle>J Clin Ultrasound</addtitle><date>2020-02</date><risdate>2020</risdate><volume>48</volume><issue>2</issue><spage>89</spage><epage>96</epage><pages>89-96</pages><issn>0091-2751</issn><eissn>1097-0096</eissn><abstract>Purpose To evaluate the prenatal sonographic predictive markers of the outcome in fetuses with bronchopulmonary sequestration (BPS). Methods BPS size and diameter of the feeding artery (FA) were measured prenatally and postnatally. Velocity of the FA and the left ventricular‐modified myocardial performance index (LV mod‐MPI) were also evaluated prenatally. Results Forty‐seven women were included in the study. Mean gestational age, mass size, diameter and velocity of the FA, and LV mod‐MPI at prenatal diagnosis were 23.5 ± 2.2 weeks, 3.6 ± 8.3 cm, 2.3 ± 0.6 mm, 46.6 ± 15.4 cm/s, and 0.46 ± 0.06, respectively. Mean mass diameter and FA diameter measured on postnatal CT examinations were 3.8 ± 1.0 cm and 2.3 ± 0.7 mm, respectively. Five patients had respiratory symptoms after birth. Twenty children (43%) underwent or were scheduled to undergo mass excision, and the remaining 27 (57%) were doing well without any intervention. There was no neonatal death. LV mod‐MPI at diagnosis, the FA diameter after birth and the serial change in the FA size were significantly associated with postnatal mass excision. Conclusion The FA diameter and LV mod‐MPI may be additional markers for predicting whether fetuses with BPS should undergo mass excision in early childhood or conservative care.</abstract><cop>Hoboken, USA</cop><pub>John Wiley &amp; Sons, Inc</pub><pmid>31609460</pmid><doi>10.1002/jcu.22780</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-2691-4954</orcidid></addata></record>
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subjects Birth
bronchopulmonary sequestration
Children
congenital abnormalities
Diagnosis
Diameters
feeding artery
Fetuses
Gestational age
Heart
Markers
Neonates
Performance indices
Prenatal diagnosis
Ultrasonic imaging
ultrasonography
Velocity
Ventricle
title Prenatal sonographic markers of the outcome in fetuses with bronchopulmonary sequestration
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