Key result
The eHLHS score reliably predicted postnatal management, with no fetus having a full score achieving biventricular repair and all 7 with an unfavorable score (<4) undergoing a univentricular pathway.
Why the study?
Do published 'eHLHS' and threshold scores predict postnatal management pathways in fetuses with aortic stenosis?
Population
31 consecutive fetuses with aortic stenosis (AS) evaluated at a tertiary fetal cardiology centre.
Design
Cohort
Follow-up
postnatal
Authors
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May inform prenatal counseling on repair pathways in fetal AS; leaves open prospective validation before guiding management.
Observational (n=31)
No
Do published 'eHLHS' and threshold scores predict postnatal management pathways in fetuses with aortic stenosis?
The eHLHS score is a reliable predictor for progression to hypoplastic left heart syndrome at term and helps identify fetuses likely to require a single ventricle pathway postnatally.
Hunter et al. (2015) conducted an observational in Fetal aortic stenosis (n=31). eHLHS and threshold scoring systems was evaluated on Postnatal management (biventricular repair versus single ventricle palliation). The eHLHS score reliably predicted postnatal management, with no fetus having a full score achieving biventricular repair and all 7 with an unfavorable score (<4) undergoing a univentricular pathway.
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