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March 1, 1988HeartOpen Access

Coarctation of the aorta in prenatal life: an echocardiographic, anatomical, and functional study.

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Why the study?

Can prenatal echocardiography accurately diagnose coarctation of the aorta in fetuses?

Population

Over 2000 pregnancies, including 24 fetuses with dilatation of the right ventricle and pulmonary artery…

Design

Cohort

Follow-up

Follow up of the infants

Authors

LAL. D. AllanNHS HighlandSCSunder ChitaLondon North West Healthcare NHS TrustRARobert H. AndersonPediatric Cardiology

Discussion

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Implication

Right heart dilatation has limited accuracy for prenatal aortic coarctation diagnosis; leaves open need for refined fetal echocardiographic criteria.

Structured PICO

Can prenatal echocardiography accurately diagnose coarctation of the aorta in fetuses?

P
Population
Over 2000 pregnancies, including 24 fetuses with dilatation of the right ventricle and pulmonary artery compared with the left heart.
I
Intervention
Prenatal echocardiography and Doppler examination
O
Outcome
Diagnosis of coarctation or interruption of the aortasurrogate

Prenatal echocardiography can diagnose aortic coarctation, primarily through right heart dilatation and reduced ascending aortic flow, though false negatives and false positives occur.

Limitations

  • Condition may be missed or incorrectly predicted
  • Reduced aortic blood flow is found in other conditions not associated with coarctation (e.g., diaphragmatic hernia)

Cite This Study

Allan et al. (1988) studied this question.

synapsesocial.com/papers/6a71f74a5d37378ac1deef02https://doi.org/10.1136/hrt.59.3.356

Topics

Echocardiography
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Antenatal diagnosis of postductal coarctation of the aorta: a case report2001
  2. 2Sonographic sign suggesting the prenatal diagnosis of coarctation of the aorta.1989 · 38 citations
  3. 3Fetal Echocardiographic Features for the Prediction of the Development of Aortic Coarctation in the Perinatal Period2026
  4. 4Coarctation of the Aorta Diagnosed in a Fetus—Are We Done yet, or Is It Still a Challenge?2026
  5. 5Critical coarctation of the aorta in newborn - A case presentation2022