Comparing the accuracy of obstetric sonography and fetal echocardiography during pediatric cardiology consultation in the prenatal diagnosis of congenital heart disease

Aim The diagnostic accuracy of fetal echocardiogram performed by an obstetrician alone and that performed jointly by an obstetrician and pediatric cardiologist for congenital heart disease were compared. Materials and Methods All cases of suspected fetal congenital heart disease (CHD) referred to th...

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Bibliographic Details
Published in:The journal of obstetrics and gynaecology research 2016-02, Vol.42 (2), p.166-171
Main Authors: Lai, Carman Wing Sze, Chau, Adolphus Kai Tung, Lee, Chin Peng
Format: Article
Language:English
Subjects:
Adult
congenital heart defect
Echocardiography
Female
Fetal Diseases - diagnostic imaging
fetal ultrasonography
Gestational Age
Heart Defects, Congenital - diagnostic imaging
Humans
Infant, Newborn
Observer Variation
Obstetrics
Pediatrics
Pregnancy
prenatal diagnosis
prenatal ultrasonography
Reproducibility of Results
ultrasonic prenatal diagnosis
Ultrasonography, Prenatal
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Summary:Aim The diagnostic accuracy of fetal echocardiogram performed by an obstetrician alone and that performed jointly by an obstetrician and pediatric cardiologist for congenital heart disease were compared. Materials and Methods All cases of suspected fetal congenital heart disease (CHD) referred to the Prenatal Diagnostic Clinic at Tsan Yuk Hospital, Hong Kong during 2006–2011 were reviewed. Prenatal fetal echocardiogram findings were compared with postnatal diagnosis. Cases of incorrect prenatal diagnosis with significant difference in prognosis were analyzed qualitatively. Results One hundred and eleven cases of fetal CHD were analyzed. Complete agreement between prenatal and postnatal diagnosis of CHD was observed in 69.4% of cases by fetal echocardiogram performed by obstetrician and 83.8% by fetal echocardiogram performed during pediatric cardiology consultation (P = 0.001). Collaboration with a pediatric cardiologist also improved detection of ductal‐dependent cardiac lesions (77.4% vs 86%, P =
ISSN:1341-8076
1447-0756
DOI:10.1111/jog.12870