Chinese Medical E-ournals Database

Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition) ›› 2013, Vol. 09 ›› Issue (05): 682 -687. doi: 10.3877/cma.j.issn.1673-5250.2013.05.029

Special Issue:

Review

Perinatal Integrative Intervention for Critical Congenital Cardiovascular Diseases

Kai-yu ZHOU1, Yi-min HUA1()   

  1. 1. Department of Pediatric Cardiology, Key Laboratory of Obstetric&Gynecologic and Pediatric Diseases and Birth Defects of Ministry of Education in China, West China Second University Hospital, Sichuan University, Chengdu 610041, Sichuan University, China
  • Received:2013-03-07 Revised:2013-08-01 Published:2013-10-01
  • Corresponding author: Yi-min HUA
  • About author:
    (Corresponding author: HUA Yi-min, Email: )

Progresses of cardiovascular disease therapeutic methods and its medical imaging technologies have greatly promoted the rapid development of fetal cardiology. Fetal cardiovascular diseases include structural abnormality, cardiac arrhythmia, cardiac tumor, cardiomyopathy, and fetal heart dysfunction resulting from multiple reasons. Prognosis of fetal severe congenital cardiovascular disease(CCD) is poor, so clinical systems about diagnosis, differentiation, prognosis and outcome evaluation are most needed to be established, so can provide related full information for clinical decision-making, and provide prenatal and postnatal comprehensive intervention protocol for suffered families, improve the prognosis of this population group. Integrated intervention model for fetal severe cardiovascular disease is now known as an important development direction of CCD, which has shown a distinctive advantage in improving long-term prognosis and life quality of critical CCD in children.

图1 严重胎儿心律失常一体化治疗流程
Figure 1 Flow chart of integrative intervention for fetal cardiac arrhythmia
图2 胎儿心力衰竭围生期一体化干预流程
Figure 2 Flow chart of integrative intervention for fetal heart failure
1
Yagel S, Silverman NH, Gembruch U. Fetal Cardiology: Embryology, genetics, physiology, echocardiographic evaluation, diagnosis and perinatal management of cardiac diseases.2nd ed[M]. New York: Informa Healthcare USA, 2008, 131-149.
2
Yang SY, Chen SB. Pediatric cardiology.4th ed[M]. Bejing: People's Medical Publishing House, 2012, 28-33.
3
Makrydimas G. Nuchal translucency and fetal cardiac defects: A pooled analysis of major fetal echocardiography centers[J]. Am J Obstet Gynecol, 2005, 192(1):89-95.
4
Tworetzky W, Wilkins-Haug L, Jennings RW, et al. Balloon dilation of severe aortic stenosis in the fetus: Potential for prevention of hypoplastic left heart syndrome: Candidate selection, technique, and results of successful intervention[J]. Circulation, 2004, 12: 2125-2131.
5
Mizrahi-Arnaud A, Tworetzky W, Bulich LA, et al. Pathophysiology, management, and outcomes of fetal hemodynamic instability during prenatal cardiac intervention[J]. Pediatr Res, 2007, 62:325-330.
6
Marshall AC, Levine J, Morash D, et al. Results of in utero atrial septoplasty in fetuses with hypoplastic left heart syndrome[J]. Prenat Diagn, 2008, 28:1023-1028.
7
Tworetzky W, McElhinney DB, Marx GR, et al. In utero valvuloplasty for pulmonary valve atresia with hypoplastic right ventricle: Techniques and outcomes[J]. Pediatrics, 2009, 24:1102-1109.
8
McElhinney DB, Marshall AC, Wilkins-Haug LE, et al. Predictors of technical success and postnatal biventricular outcome after in utero aortic valvuloplasty for aortic stenosis with evolving hypoplastic left heart syndrome[J]. Circulation, 2009, 120:1482-1490.
9
Makrydimas G. Nuchal translucency and fetal cardiac defects: A pooled analysis of major fetal echocardiography centers. Am J Obstet Gynecol. 2005; 192(1):89-95.
10
Allan LD. Cardiac anatomy screening: What is the best time for screening in pregnancy[J]? Curr Opin Obst Gynecol,2003, 15(2):143-146.
11
Carvalho JS. Clinical impact of first and early second trimester fetal echocardiography on high risk pregnancies[J]. Heart, 2004, 90:921-926.
12
Kleinman CS. Cardiac arrhythmias in the human fetus[J]. Pediatr Cardiol, 2004, 25(3): 234-251.
13
McElhinney DB, Tworetzky W, Lock JE. Current status of fetal cardiac intervention[J].Circulation, 2010, 121:1256-1263.
14
van den Heuvel F, Bink-Boelkens MT, du Marchie-Sarvaas GJ, et al. Drug management of fetal tachyarrhythmias: Are we ready for a systematic and evidence-based approach[J]? Pacing Clin Electrophysiol, 2008, 31(suppl 1):S54-S57.
15
Funda O, Resmiye B, Ayfle G, Ahunbay G. Fetal arrhythmias diagnosis, treatment and prognosis[J]. Anadolu Kardiyol Derg.2003, 3(3):211-215.
16
Cornelia H, Manfred H, Sturlia H, et al. A cardiovascular profile score in surveillance of fetal hydrops[J]. J Maternal-Fetal Neonatal Med, 2006, 19(7): 407-413.
17
Huhta JC.Fetal congestive heart failure[J].Semin Fetal Neonatal Med,2005, 10(6):542-552.
18
Falkensammer F, James P, Huhta JC. Fetal congestive heart failure: Correlation of Tei-index and cardiovascular-score[J]. J Perinat Med, 2001, 29:390-398.
19
Zhou KY, Hua YM, Zhu Q, et al. Transplacental digoxin therapy for fetal tachyarrhythmia with multiple evaluation systems. J Matern Fetal Neonatal Med, 2011, 24(11):1378-1383.
[1] Jing Yang, Qing Gao. Risk factors for sepsis secondary to severe acute pancreatitis[J]. Chinese Journal of Critical Care Medicine(Electronic Edition), 2023, 16(02): 105-110.
[2] Lingjie Wu, Ruilie Chen, Guijia Chen, Xiangming Xiao, Zhongbin Lin. Antiviral treatment of two cases with human immunodeficiency virus complicated with severe acute respiratory syndrome coronavirus 2 co-infection and literatures review[J]. Chinese Journal of Experimental and Clinical Infectious Diseases(Electronic Edition), 2023, 17(04): 282-286.
[3] Kaiyue Yan, Huiling Deng, Yufeng Zhang, He Song, Yuan Chen, Miao Xi. Association between insulin like growth factor-1 and severe hand, foot and mouth disease[J]. Chinese Journal of Experimental and Clinical Infectious Diseases(Electronic Edition), 2023, 17(03): 151-157.
[4] Jing Huang, Hui Deng, Lesheng Li. A case of severe community-acquired pneumonia with pancreatic injury caused by Chlamydia psittaci and literatures review[J]. Chinese Journal of Experimental and Clinical Infectious Diseases(Electronic Edition), 2023, 17(03): 209-214.
[5] Yan Wang, Yanlan Wang. Start with the end: Application of digital guide plates in the occlusal reconstruction of severely worn teeth[J]. Chinese Journal of Stomatological Research(Electronic Edition), 2023, 17(04): 233-238.
[6] Cuijun Huang, Xiling Zhang, Sijia Liu, Yunjian Liu. Research progress in nutritional support therapy for severe acute pancreatitis[J]. Chinese Archives of General Surgery(Electronic Edition), 2023, 17(05): 385-390.
[7] Lang Jin, Jie Shi, Zheng Huang, Yongwei Jia, Jianpo Zhang, Licheng Wei, Haolei Jin. 3D printing digital technology assists the modified cross-PVP on the effect of spine-pelvic sagittal balance in severe osteoporotic vertebral compression fractures[J]. Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition), 2023, 09(05): 263-268.
[8] Junlong Gao, Xin Zhang, Qianqian Zhou, Yuan. Yuan. Advances in immunosuppression for early severe acute pancreatitis[J]. Chinese Journal of Critical Care & Intensive Care Medicine(Electronic Edition), 2023, 09(03): 286-291.
[9] Xiaohong Wang, Jing Qian, Wenjun Weng, Guoxiong Zhou, Shunxing Zhu, Xiaoming Qi, Chun Liu, Ping Wang, Wei Shen, Ruizhi Cheng, Jinghao Qin. Effects of regulation of nuclear factor-κB signal by mercaptopyruvate sulfurtransferase mediated autophagy on rats with severe acute pancreatitis and its mechanism[J]. Chinese Journal of Digestion and Medical Imageology(Electronic Edition), 2023, 13(06): 422-426.
[10] Qiang Ma, Jun Li, Lijuan Gou. Expression levels of miR-21-3p and RUNX3 in severe acute pancreatitis and their predictive value to the progression of the disease[J]. Chinese Journal of Digestion and Medical Imageology(Electronic Edition), 2023, 13(05): 337-341.
[11] Jun Dai, Shuo Li, Ying Cao, Shoufeng Wang, Hongmao Song, Jingjing Cai, Min Shao, Li Chen, Lei Cheng, De Huai. Efficacy of modified highly selective pterygoid canal nerve block by low temperature radiofrequency ablation under nasal endoscopy in patients with moderate to severe chronic rhinitis[J]. Chinese Journal of Clinicians(Electronic Edition), 2023, 17(06): 689-693.
[12] Xuerong Qiu, Xiuqin Zhang, Huan Zhang, Ting Liu, Cuiqin Gao. Value of antibiotic administration based on dynamic monitoring of SAA in treatment of severe pneumonia by electronic bronchoscopy combined with pulmicort[J]. Chinese Journal of Clinicians(Electronic Edition), 2023, 17(03): 308-313.
[13] You Han, Jing Hao, Hongxia Dong, Li Dai, Baoshuo Zhou, Huixian Gao. Early application and nursing methods analysis of transnasal jejunal nutrition tube in acute severe pancreatitis[J]. Chinese Journal of Gastrointestinal Endoscopy(Electronic Edition), 2023, 10(04): 274-277.
[14] Xiangli Sun, Zhenzhen Xu. Efficacy of percutaneous coronary rotational atherectomy for severe calcification of coronary artery[J]. Chinese Journal of Geriatrics Research(Electronic Edition), 2023, 10(02): 33-36.
[15] Wei You, Zhuoqi Wei, Wenhui Chen, Zhiyong Dong, Wah Yang, Cunchuan Wang. A case report of laparoscopic narrow and long pouch Roux-en-Y gastric bypass surgery for the treatment of severe obesity[J]. Chinese Journal of Obesity and Metabolic Diseases(Electronic Edition), 2023, 09(03): 218-223.
Viewed
Full text


Abstract