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The aorto-left ventricular tunnel from a fetal perspective: original case series and literature review

The result's identifiers

  • Result code in IS VaVaI

    <a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00064203%3A_____%2F22%3A10436489" target="_blank" >RIV/00064203:_____/22:10436489 - isvavai.cz</a>

  • Alternative codes found

    RIV/00216208:11130/22:10436489

  • Result on the web

    <a href="https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=GYWltXfyZ7" target="_blank" >https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=GYWltXfyZ7</a>

  • DOI - Digital Object Identifier

    <a href="http://dx.doi.org/10.1002/pd.6090" target="_blank" >10.1002/pd.6090</a>

Alternative languages

  • Result language

    angličtina

  • Original language name

    The aorto-left ventricular tunnel from a fetal perspective: original case series and literature review

  • Original language description

    INTRODUCTION: Aorto-left ventricular tunnel (ALVT) accounts for &lt;0.1% of congenital heart defects. Evidence on the prognosis from a fetal perspective is limited. With this retrospective international case series, we provide information on the outcome of fetuses with ALVT. METHODS: All members of the Association for European Paediatric and Congenital Cardiology&apos;s (AEPC) Fetal Working Group and fetal medicine units worldwide were invited for participation. We observed antenatal parameters, neonatal outcome and postnatal follow-up. Additionally, a systematic search of the literature was performed. RESULTS: Twenty fetuses with ALVT were identified in 10 participating centres (2001-2019). Fetal echocardiographic characteristics of ALVT included an increased cardiac-thorax ratio (95%), left-ventricular end-diastolic diameter (90%) and a dysplastic aortic valve (90%). Extracardiac malformations were rare (5%). Eight fetuses died at a median GA of 21+6 weeks (range, 19-24): all showed signs of hydrops prior to 24 weeks or at autopsy. All others (60%, 12/2) were live-born (median GA 38+4, range 37-40), underwent surgery and were alive at last follow up (median 3.2 years, range 0.1-17). The literature reported 22 ALVT fetuses with similar outcome. CONCLUSIONS: In the absence of fetal hydrops, ALVT carries a good prognosis. Fetuses who survive to 24 weeks without hydrops are likely to have a good outcome. This article is protected by copyright. All rights reserved.

  • Czech name

  • Czech description

Classification

  • Type

    J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database

  • CEP classification

  • OECD FORD branch

    30201 - Cardiac and Cardiovascular systems

Result continuities

  • Project

  • Continuities

    I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Others

  • Publication year

    2022

  • Confidentiality

    S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Data specific for result type

  • Name of the periodical

    Prenatal Diagnosis

  • ISSN

    0197-3851

  • e-ISSN

    1097-0223

  • Volume of the periodical

    42

  • Issue of the periodical within the volume

    2

  • Country of publishing house

    GB - UNITED KINGDOM

  • Number of pages

    11

  • Pages from-to

    267-277

  • UT code for WoS article

    000745524400001

  • EID of the result in the Scopus database

    2-s2.0-85123464189