Advances in fetal cardiac intervention

James Huhta, Rubén A. Quintero, Elsa Suh, Rima Bader

Research output: Contribution to journalReview article

42 Scopus citations

Abstract

Fetal cardiac intervention is in a rapid state of progress now. Attemps are being made to prevent fetal hydrops due to congenital heart defects, to recruit hypoplastic ventricles, to create a two-ventricle circulation after birth, and to remodel the fetal pulmonary vascular bed whose outlet is obstructed. Open heart surgery in the fetus has yet to be done successfully, but interventions for improved cardiac outcomes are now being tested. Their outcomes will depend, in large part, on their successful physiological effects. How to measure these and quantitate the effects of our interventions will require further advances in the understanding of these diseases-both their natural and unnatural courses. New ultrasound techniques and assessment tools to assess fetal cardiac wellness could enhance the limited progress in fetal intervention in the heart so far.

Original languageEnglish (US)
Pages (from-to)487-493
Number of pages7
JournalCurrent Opinion in Pediatrics
Volume16
Issue number5
DOIs
StatePublished - Oct 1 2004

Keywords

  • Aortic stenosis
  • Atrial septal obstruction
  • Catheter intervention
  • Congenital heart disease
  • Fetal Doppler
  • Fetal surgery

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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