Prenatally diagnosed isolated perimembranous ventricular septal defect: Genetic and clinical implications.


Journal

Prenatal diagnosis
ISSN: 1097-0223
Titre abrégé: Prenat Diagn
Pays: England
ID NLM: 8106540

Informations de publication

Date de publication:
04 2022
Historique:
revised: 25 02 2022
received: 22 01 2022
accepted: 25 02 2022
pubmed: 2 3 2022
medline: 20 4 2022
entrez: 1 3 2022
Statut: ppublish

Résumé

To evaluate the incidence of chromosomal aberrations and the clinical outcomes following the prenatal diagnosis of isolated perimembranous ventricular septal defect (pVSD). This retrospective study was composed of a cohort of pregnant women whose fetuses were diagnosed with isolated pVSD. Complete examinations of the fetal heart were performed, as well as a postnatal validation echocardiography follow-up at 1 year of age. The collected data included: spontaneous closure of the pVSD, need for intervention, chromosomal aberrations and postnatal outcome. Fifty-five pregnant women were included in the study. 34/55 (61.8%) of the fetuses underwent prenatal genetic workup which revealed no abnormal results. No dysmorphic features or abnormal neurological findings were detected postnatally in those who declined a prenatal genetic workup during the follow-up period of 2 years. In 25/55 of the cases (45.4%), the ventricular septal defects (VSD) closed spontaneously in utero, whereas in 17 cases of this group (30.9%) the VSD closed during the first year of life. None of the large 3 VSDs cases (>3 mm), closed spontaneously. Prenatally isolated perimembranous VSD has a favorable clinical outcome when classified as small-to-moderate size, children in our cohort born with such findings had no macroscopic chromosomal abnormalities.

Identifiants

pubmed: 35230708
doi: 10.1002/pd.6128
pmc: PMC9313563
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

461-468

Informations de copyright

© 2022 The Authors. Prenatal Diagnosis published by John Wiley & Sons Ltd.

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Auteurs

Lital Gordin Kopylov (L)

Obstetrical Unit, Shamir Medical Center (formerly Assaf Harofeh Medical Center), Zerifin, Israel.
Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Nadav Dekel (N)

Obstetrical Unit, Shamir Medical Center (formerly Assaf Harofeh Medical Center), Zerifin, Israel.
Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Ron Maymon (R)

Obstetrical Unit, Shamir Medical Center (formerly Assaf Harofeh Medical Center), Zerifin, Israel.
Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Noa Feldman (N)

Obstetrical Unit, Shamir Medical Center (formerly Assaf Harofeh Medical Center), Zerifin, Israel.
Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Ariel Zimmerman (A)

Obstetrical Unit, Shamir Medical Center (formerly Assaf Harofeh Medical Center), Zerifin, Israel.
Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Dan Hadas (D)

Obstetrical Unit, Shamir Medical Center (formerly Assaf Harofeh Medical Center), Zerifin, Israel.
Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Yaakov Melcer (Y)

Obstetrical Unit, Shamir Medical Center (formerly Assaf Harofeh Medical Center), Zerifin, Israel.
Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Ran Svirsky (R)

Obstetrical Unit, Shamir Medical Center (formerly Assaf Harofeh Medical Center), Zerifin, Israel.
Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Raphael Recanati Genetic Institute, Rabin Medical Center - Beilinson Hospital, Petach Tikva, Israel.

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Classifications MeSH