Hemodynamic and anatomic changes after fetal aortic valvuloplasty are associated with procedural success and postnatal biventricular circulation

Hemodynamic and anatomic changes after fetal aortic valvuloplasty are associated with procedural success and postnatal biventricular circulation

Background There are minimal data characterizing the trajectory of left heart growth and hemodynamics following fetal aortic valvuloplasty (FAV). Methods This retrospective study included patients who underwent FAV between 2000 and 2019, with echocardiograms performed pre‐FAV, immediately post‐FAV,...

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Veröffentlicht in:Prenatal diagnosis 2022-09, Vol.42 (10), p.1312-1322
Hauptverfasser: Bradford, Victoria R., Tworetzky, Wayne, Callahan, Ryan, Wilkins‐Haug, Louise E., Benson, Carol B., Porras, Diego, Guseh, Stephanie H., Lu, Minmin, Sleeper, Lynn A., Gellis, Laura, Friedman, Kevin G.
Format: Artikel
Sprache:eng
Schlagworte:
Aorta
Aortic arch
Aortic valve
Blood circulation
Echocardiography
Fetuses
Flow distribution
Gestation
Heart valves
Hemodynamics
Mitral valve
Ventricle
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Zusammenfassung:Background There are minimal data characterizing the trajectory of left heart growth and hemodynamics following fetal aortic valvuloplasty (FAV). Methods This retrospective study included patients who underwent FAV between 2000 and 2019, with echocardiograms performed pre‐FAV, immediately post‐FAV, and in late gestation. Results Of 118 fetuses undergoing FAV, 106 (90%) underwent technically successful FAV, of which 55 (52%) had biventricular circulation. Technically successful FAV was associated with improved aortic valve growth (p 
ISSN:0197-3851
1097-0223
DOI:10.1002/pd.6216