Servicio de Obstetricia, Hospital Italiano de Buenos Aires.
Servicio de Cardiología Infantil, Hospital Italiano de Buenos Aires.
Arch Argent Pediatr. 2020 Apr;118(2):e149-e161. doi: 10.5546/aap.2020.eng.e149.
Among congenital malformations, heart defects are the most common type of anomaly, and these are associated with a high perinatal, longterm morbidity and mortality. The objective of this update was to review the rate of prenatal detection, screening characteristics throughout the pregnancy, in both the first and second trimesters, indications for advanced echocardiography, and to establish a management algorithm in case of prenatal diagnosis of a congenital heart disease. Potential invasive and non-invasive tests and obstetric follow-up will be discussed here. Finally, the main characteristics of fetal therapy in heart anomalies will be reviewed, both cardiac interventions and intrauterine treatment of arrhythmias.
在先天性畸形中，心脏缺陷是最常见的异常类型，这些缺陷与围产期、长期发病率和死亡率高有关。本次更新的目的是回顾产前检测率、整个孕期（第一和第二孕期）的筛查特征、高级超声心动图的适应证，并在产前诊断出先天性心脏病时建立管理算法。这里将讨论潜在的有创和无创检查以及产科随访。最后，将回顾心脏畸形胎儿治疗的主要特征，包括心脏介入治疗和宫内心律失常治疗。
