Abstract
Fetal cardiac intervention (FCI) is a novel and evolving technique that allows for in utero treatment of a subset of congenital heart disease. This review describes the rationale, selection criteria, technical features, and current outcomes for the three most commonly performed FCI: fetal aortic stenosis with evolving hypoplastic left heart syndrome (HLHS); HLHS with intact or restrictive atrial septum; and pulmonary atresia with intact ventricular septum, with concern for worsening right ventricular (RV) hypoplasia.
Keywords:
Aortic stenosis; Cardiologie fœtale; Cathétérisme interventionnel; Fetal cardiology; Hypoplasie du ventricule gauche; Hypoplastic left heart syndrome; Sténose aortique; Transcatheter intervention.
Published by Elsevier Masson SAS.
MeSH terms
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Aortic Valve Stenosis / diagnostic imaging
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Aortic Valve Stenosis / physiopathology
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Aortic Valve Stenosis / therapy
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Cardiac Catheterization* / adverse effects
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Cardiac Surgical Procedures* / adverse effects
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Echocardiography
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Female
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Fetal Heart / abnormalities
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Fetal Heart / diagnostic imaging
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Fetal Heart / physiopathology
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Fetal Heart / surgery*
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Fetal Therapies* / adverse effects
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Gestational Age
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Heart Defects, Congenital / diagnostic imaging
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Heart Defects, Congenital / physiopathology
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Heart Defects, Congenital / therapy*
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Humans
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Hypoplastic Left Heart Syndrome / diagnostic imaging
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Hypoplastic Left Heart Syndrome / physiopathology
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Hypoplastic Left Heart Syndrome / therapy
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Pregnancy
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Pulmonary Atresia / diagnostic imaging
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Pulmonary Atresia / physiopathology
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Pulmonary Atresia / therapy
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Risk Factors
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Treatment Outcome
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Ultrasonography, Prenatal
Supplementary concepts
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Pulmonary Atresia with Intact Ventricular Septum