Discrepancy between pre- And postnatal diagnoses of congenital heart disease and impact on neonatal clinical course - A retrospective study at a japanese tertiary institution - A r

Kenichi Kurosaki, Masataka Kitano, Heima Sakaguchi, Isao Shiraishi, Naoko Iwanaga, Jun Yoshimatsu, Takaya Hoashi, Hajime Ichikawa, Satoshi Yasuda

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Congenital heart disease (CHD) is often diagnosed prenatally using fetal echocardiography, but few studies have evaluated the accuracy of these fetal cardiac diagnoses in detail. We investigated the discrepancy between pre- and postnatal diagnoses of CHD and the impact of discrepant diagnoses. Methods and Results: This retrospective study at a tertiary institution included data from the medical records of 207 neonates with prenatally diagnosed CHD admitted to the cardiac neonatal intensive care unit between January 2011 and December 2016. Pre- and postnatal diagnoses of CHD differed in 12% of neonates. Coarctation of the aorta and ventricular septal defects were the most frequent causes of discrepant diagnosis. Unexpected treatments were added to 38% of discrepant diagnostic cases. However, discrepant diagnoses did not adversely affect the clinical course. The 9% of the 207 neonates who required invasive intervention within 24 h of delivery were accurately diagnosed prenatally. Conclusions: Pre- and postnatal diagnoses differed in only a few neonates, with differences not adversely affecting the clinical course. Neonates who required invasive intervention immediately after delivery were accurately diagnosed prenatally. Prenatal diagnosis thus seems to contribute to improved prognosis in neonates with CHD.

Original languageEnglish
Pages (from-to)2275-2285
Number of pages11
JournalCirculation Journal
Volume84
Issue number12
DOIs
Publication statusPublished - 2020

Keywords

  • Congenital heart disease
  • Discrepant diagnosis
  • Fetal echocardiography
  • Neonates
  • Prenatal diagnosis

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Fingerprint Dive into the research topics of 'Discrepancy between pre- And postnatal diagnoses of congenital heart disease and impact on neonatal clinical course - A retrospective study at a japanese tertiary institution - A r'. Together they form a unique fingerprint.

Cite this