© 2004 by BMJ Publishing Group & British Cardiac Society
CONGENITAL HEART DISEASE
Poor sensitivity of routine fetal anomaly ultrasound screening for antenatal detection of atrioventricular septal defect
Department of Paediatric Cardiology, Leeds General Infirmary, Leeds, UK
Correspondence to:
Correspondence to:
Dr John D Thomson
Department of Paediatric Cardiology, E Floor, Leeds General Infirmary, Calverley Street, Leeds LS1 3EX, UK; john.thomson{at}lineone.net
Objective: To report the antenatal detection rate in a consecutive series of liveborn infants with atrioventricular septal defect (AVSD).
Design: Review and analysis of referrals for detailed fetal echocardiography and postnatal diagnosis of AVSD.
Setting: Tertiary referral centre for congenital heart disease centre with data prospectively collected between 1996 to 2001.
Results: 92 consecutively liveborn infants with AVSDs were identified of which 27 (29%) were detected by routine obstetric antenatal ultrasound. The antenatal diagnosis rate was worse for liveborn infants with trisomy 21 (12 of 49 (25%) v 15 of 43 (35%) chromosomally normal children) and for infants with AVSD without other structural heart disease (18 of 74 (24%) v 9 of 18 (50%) infants with associated structural heart disease).
Conclusion: Despite the potential ability of fetal ultrasound to detect AVSDs, the antenatal diagnosis rate is poor. This is particularly true for infants with trisomy 21 and is of importance when counselling parents with an apparently normal fetal ultrasound scan.
Keywords: fetal echocardiography; congenital heart disease; atrioventricular septal defect
CiteULike 
Complore 
Connotea 
Del.icio.us 
Digg 
Reddit 
Technorati What's this?
This article has been cited by other articles:
-
Pathak, S, Lees, C
(2009). Ultrasound structural fetal anomaly screening: an update. Arch. Dis. Child. Fetal Neonatal Ed.
94: F384-F390
[Abstract] [Full Text]
- Full Text
- Full Text (PDF)
- Submit a response
- Alert me when this article is cited
- Alert me when eLetters are posted
- Alert me if a correction is posted
Services
- Email this link to a friend
- Similar articles in this journal
- Similar articles in PubMed
- Add article to my folders
- Download to citation manager
- Request Permissions
Citing Articles
Google Scholar
PubMed
Topic Collections
-
Clinical diagnostic tests
-
Congenital heart disease
-
Drugs: cardiovascular system
-
Echocardiography
- Epidemiology
Bookmark with
Register for free content
The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.
Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.
